Individual provider Active NPI

Jeffrey Combs, LPCC

  • Professional Counselor
  • Leburn, KY
National Provider Identifier
1689173825
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
175315 Issued in KY
Practice address
25 Clydean Dr
Leburn, KY 41831-8702
Phone
(606) 785-1148
NPI assigned
Feb 2, 2018
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 175315 KY Primary

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

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
I20240423001318 KY Practitioner - Mental Health Counselor 1658719091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Services, PLLC Mental Health CurrentSince Mar 8, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1689173825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 PIGEONROOST RD",
            "city": "BULAN",
            "state": "KY",
            "postal_code": "417229027",
            "telephone_number": "606-216-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CLYDEAN DR",
            "city": "LEBURN",
            "state": "KY",
            "postal_code": "418318702",
            "telephone_number": "606-785-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 Pigeonroost Rd",
            "address_purpose": "LOCATION",
            "city": "Bulan",
            "state": "KY",
            "postal_code": "417229027",
            "country_code": "US",
            "telephone_number": "606-216-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JEFFREY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "175315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leburn, KY

Sources for this page

Verify at the official NPI Registry.