Commonwealth Behavioral Health & Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

175330 Issued in KY

Legal business name

COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING

Practice address

10 Court St
Mt Sterling, KY 40353-1303

Phone

(859) 520-3041

Fax

(859) 432-8935

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Charlotte Ann Farris, LPCCNPI 1508239229

Title

Ceo

Phone

(859) 520-3041

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Commonwealth Behavioral Health Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth Behavioral Health & Counseling

  • Professional Counselor
  • Mount Sterling, KY
  • NPI 1932738523
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Farris, LPCC

  • Professional Counselor
  • Mount Sterling, KY
  • NPI 1508239229
  NPD (past) Authorized official
• Kimberly Roberts

  • Mental Health Counselor
  • Lexington, KY
  • NPI 1295162022
  NPD
• Ryan Tierra Davenport, LPCA

  • Professional Counselor
  • Lexington, KY
  • NPI 1376088021
  NPD (past)
• Andre Riddick Sr., LPCC

  • Counselor
  • Lexington, KY
  • NPI 1003372905
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1780109827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N MAYSVILLE ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531471",
            "telephone_number": "859-520-3041",
            "fax_number": "606-329-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COURT ST",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531303",
            "telephone_number": "859-520-3041",
            "fax_number": "859-432-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-520-3041",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "175330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100503630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Wilder Coleman
• Mark Collier, MHA
• Csilla Collins
• Shelley Collins
• Dustin Lee Combs, DC
• Commonwealth Behavioral Health & Counseling
• Commonwealth Urology Mt Sterling
• Community Family Clinic PLLC
• Community Famliy Clinic, PLLC
• Christopher Compton

• Professional Counselor in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.