Active NPI
Elma Ada Lindhorst, PMH/NP-C
- Mental Health Counselor
- Paducah, KY
National Provider Identifier
1619909421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2620 Perkins Dr
VA Medical Clinic Cboc
Paducah, KY 42201 - Phone
- (270) 443-8198
- Fax
- (270) 443-7734
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
2620 Perkins Dr
VA Medical Clinic Cboc
Paducah, KY 42201
Mailing address
1001 W Maplewood St
Appartment D
Marion, IL 62959-2045
Phone (270) 444-8465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005639 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619909421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W MAPLEWOOD ST",
"address_2": "APPARTMENT D",
"city": "MARION",
"state": "IL",
"postal_code": "629592045",
"telephone_number": "270-444-8465",
"fax_number": "270-443-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 PERKINS DR",
"address_2": "VA MEDICAL CLINIC CBOC",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42201",
"telephone_number": "270-443-8198",
"fax_number": "270-443-7734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHORST",
"first_name": "ELMA",
"middle_name": "ADA",
"name_prefix": "Ms.",
"credential": "PMH/NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.