Individual provider Active NPI

Luke Hayden Hatfield

  • Professional Counselor
  • Leitchfield, KY
National Provider Identifier
1649477464
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1293 Issued in KY
Practice address
346 S Main St
Leitchfield, KY 42754-1428
Phone
(270) 230-1777
Fax
(270) 679-0838
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1293 KY
Professional Counselor 101YP2500X 0577 KY
Professional Counselor 101YP2500X 1293 KY Primary

Addresses

Primary practice location

346 S Main St
Leitchfield, KY 42754-1428

Mailing address

PO Box 4237
Leitchfield, KY 42755-4237
Phone (270) 230-1777

Other identifiers 2

IdentifierTypeStateIssuer
30600518MedicaidKY
7100296780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000850 KY Practitioner - Mental Health Counselor 7214261205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Twin Lakes Counseling Services LLCGroup PAC ID 4082948070, 13 clinicians

Practice addresses (Care Compare)

346 S Main St
Leitchfield, KY 42754-1428
Phone (270) 230-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0577KYMDMental Health Counselor
1293KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ataraxia Integrated Medicine and Wellness Corporation Mental Health CurrentSince Aug 13, 2023 Accepting new patients
Twin Lakes Counseling Services, LLC Professional CurrentSince Apr 6, 2019 Accepting new patients
TLBH Wellness CurrentSince Jun 1, 2022 Accepting new patients

Locations

334 S Main St
Leitchfield, KY 42754
Phone (270) 200-0501

346 S Main St
Leitchfield, KY 42754
Phone (270) 230-1777

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A.I.M. WellnessLeitchfield, KY, CCN B03973 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Apr 15, 2024
Apr 15, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1649477464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4237",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427554237",
            "telephone_number": "270-230-1777",
            "fax_number": "270-679-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541428",
            "telephone_number": "270-230-1777",
            "fax_number": "270-679-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "LUKE",
        "middle_name": "HAYDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1293",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0577",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30600518",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100296780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.