Individual provider Active NPI

Bree Ann Miller-Simone, LPCC, RTC

  • Professional Counselor
  • Owensboro, KY
National Provider Identifier
1730468968
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
103866 Issued in KY
Practice address
920 Frederica St
Suite 406
Owensboro, KY 42301-3050
Phone
(270) 689-0073
Fax
(270) 689-0083
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 103866 KY Primary

Addresses

Primary practice location

920 Frederica St
Suite 406
Owensboro, KY 42301-3050

Mailing address

2672 Hillbrooke Parkway
Owensboro, KY 42303
Phone (270) 302-5724

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
I20250117003411 KY Practitioner - Mental Health Counselor 4183153224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Counseling Services IncGroup PAC ID 4789839028, 7 clinicians

Practice addresses (Care Compare)

920 Frederica St
Suite 407
Owensboro, KY 42301-3079
Phone (270) 689-0073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Services, Inc. CurrentSince Jan 6, 2025 Accepting new patients

Locations

203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761

920 Frederica St
Ste 407
Owensboro, KY 42301
Phone (270) 684-1077

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1730468968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2672 HILLBROOKE PARKWAY",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-302-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FREDERICA ST",
            "address_2": "SUITE 406",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013050",
            "telephone_number": "270-689-0073",
            "fax_number": "270-689-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-SIMONE",
        "first_name": "BREE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPCC, RTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.