Jeffrey Combs, LPCC
Individual provider Active NPI Professional Counselor · Leburn, KY
NPI 1689173825 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1689173825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 175315 (KY)
- Practice address
- 25 Clydean Dr
Leburn, KY 41831-8702 - Phone
- (606) 785-1148
- NPI assigned
- Feb 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240423001318 | KY | Practitioner - Mental Health Counselor | 1658719091 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blossom Services, PLLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 175315 | KY | Yes |
Addresses
Primary practice location
25 Clydean Dr
Leburn, KY 41831-8702
Mailing address
1192 Pigeonroost Rd
Bulan, KY 41722-9027
Phone (606) 216-5431
Other practice location 1
1192 Pigeonroost Rd
Bulan, KY 41722-9027
Phone (606) 216-5431
Other providers in Leburn, KY
- Blossom Services, PLLC
- Community Home Medical Equipment, Inc
- Cook Therapy Services, PLLC
- New Leaf Community Wellness LLC
- Wendy Eugina Spencer
All providers in Leburn, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.