John Jerome Flannigan
Individual provider Active NPI Professional Counselor · Brandenburg, KY
NPI 1760067458 · NPPES record last updated Mar 14, 2021
Key facts
- NPI
- 1760067458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 251722 (KY)
- Practice address
- 230 Valley Greens Rd
Brandenburg, KY 40108-7154 - Phone
- (502) 321-4847
- NPI assigned
- Mar 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 251722 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 251722 | KY | Yes |
Addresses
Primary practice location
230 Valley Greens Rd
Brandenburg, KY 40108-7154
Mailing address
230 Valley Greens Rd
Brandenburg, KY 40108-7154
Phone (502) 321-4847
Other providers in Brandenburg, KY
- Everside Health LLC Kentucky Clinic
- Extendicare Homes, Inc.
- Eye Associates of Southern Indiana PC
- Susan Fackler
- Celeste Nicole Farmer
- Susan Fleshman
- Shelby Folkerts
- Forefront Dermatology, S.C.
- Amanda Foring
- Robert Michael Gentile
All providers in Brandenburg, 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 Mar 14, 2021. 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.