Individual provider Active NPI

Micca Nichole Ratliff, M.ED, LPCC, NCC

  • Mental Health Counselor
  • Prestonsburg, KY
National Provider Identifier
1649519190
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1458 Issued in KY
Practice address
113 Oak Ridge CT
Prestonsburg, KY 41653-8607
Phone
(606) 889-1602
Fax
(606) 263-4467
NPI assigned
Feb 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2288 WV
Addiction (Substance Use Disorder) Counselor 101YA0400X E.2102246 OH
Mental Health Counselor 101YM0800X 1458 KY Primary

Addresses

Primary practice location

113 Oak Ridge CT
Prestonsburg, KY 41653-8607

Mailing address

5666 Ky Route 850
Hippo, KY 41653-8334
Phone (606) 358-9520

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)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
E.2102246OHMDAddiction (Substance Use Disorder) Counselor
1458KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Mental Health Associates, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1649519190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 KY ROUTE 850",
            "city": "HIPPO",
            "state": "KY",
            "postal_code": "416538334",
            "telephone_number": "606-358-9520",
            "fax_number": "606-886-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 OAK RIDGE CT",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538607",
            "telephone_number": "606-889-1602",
            "fax_number": "606-263-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "MICCA",
        "middle_name": "NICHOLE",
        "credential": "M.ED, LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "2288",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E.2102246",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.