Tasha Mortimer, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

272544 Issued in KY

Practice address

1050 Chinoe Rd Ste 203
Lexington, KY 40502-6571

Phone

(859) 554-0740

NPI assigned

Aug 9, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Willow Creek Counseling Center LLC

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1285230698
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1710651120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLEMOOR LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155647",
            "telephone_number": "715-220-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-554-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "TASHA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "272544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tasha@willowcreekcounselingky.com",
            "affiliation": "N",
            "address_1": "1050 Chinoe Rd Ste 203",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405026571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard H. Mortara, MD
• Aaron Mortensen, M.D.
• Amber Lee Mortensen, LMT
• Jacklyn Anne Mortensen, PA-C
• Jeffery Scott Mortimer, DC
• Chauncey Dior Morton, MSW
• Eric Clay Morton
• Evelyn Marie Morton, N/A
• James Thomas Morton, MD
• Mindy Morton

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.