Georgetown Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3292 Issued in KY

Legal business name

GEORGETOWN COUNSELING SERVICES

Practice address

137 E Main St
Georgetown, KY 40324-1786

Phone

(859) 312-6400

Fax

(859) 309-4588

NPI assigned

Apr 24, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Petrae Johnson, LCSW

Title

Owner

Phone

(859) 312-6400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Petrae Johnson, LCSW

  • Clinical Social Worker
  • Georgetown, KY
  • NPI 1679705479
  NPD

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1669907994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N BROADWAY ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241305",
            "telephone_number": "859-312-6400",
            "fax_number": "859-309-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E MAIN ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241786",
            "telephone_number": "859-312-6400",
            "fax_number": "859-309-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "PETRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-312-6400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "KY",
            "license": "3292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown College, Inc
• Georgetown Community Hospital LLC
• Georgetown Community Hospital LLC
• Georgetown Community Hospital LLC
• Georgetown Community Hospital LLC
• Georgetown Family Dentistry, LLC
• Georgetown Family Physicians, PSC
• Georgetown Integrated Medicine PSC
• Georgetown Internal Medicine
• Georgetown Ky Pharmacy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.