John Hishmeh, LPCA
Individual provider Active NPI Professional Counselor · Munfordville, KY
NPI 1699909366 · NPPES record last updated May 11, 2009
Key facts
- NPI
- 1699909366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0875 (KY)
- Practice address
- 118 W Union St
Munfordville, KY 42765-8911 - Phone
- (270) 524-9883
- Fax
- (270) 524-0437
- NPI assigned
- May 11, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0875 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0875 | KY | Yes |
Addresses
Primary practice location
118 W Union St
Munfordville, KY 42765-8911
Mailing address
118 W Union St
Munfordville, KY 42765-8911
Phone (270) 524-9883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30604011 | Medicaid | KY |
Other providers in Munfordville, KY
- Hart County School District
- Sallye Hawkins
- Ann Marie Hemmer
- Lindsey Hickerson
- Samantha Hines
- Jill Lynn Humphrey
- Allicia Ill
- Jane'S Pharmacy, LLC
- Jon R Jarvis
- Jason R. Smith, DMD, Family Dentistry
All providers in Munfordville, 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 May 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.