Active NPI
Junior Mondie
- Professional Counselor
- Somerset, KY
National Provider Identifier
1760036784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 248054
- Practice address
- 321 Ringgold Rd
Somerset, KY 42503-3900 - Phone
- (606) 451-1936
- Fax
- (606) 451-9713
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 248054 | KY | Primary |
Addresses
Primary practice location
321 Ringgold Rd
Somerset, KY 42503-3900
Mailing address
PO Box 114
Russell Springs, KY 42642-0114
Phone (606) 872-0578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248054 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Management Incorporated | Professional | Current | Accepting new patients |
Locations
321 Ringgold Rd
Somerset, KY 42503
Phone (606) 451-1936
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": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1760036784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 114",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426420114",
"telephone_number": "606-872-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 RINGGOLD RD",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033900",
"telephone_number": "606-451-1936",
"fax_number": "606-451-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDIE",
"first_name": "JUNIOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "248054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.