Individual provider Active NPI

Christy A Rainwater, NCC, LPCC

  • Professional Counselor
  • Nancy, KY
National Provider Identifier
1801042684
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104140 Issued in KY
Practice address
14987 W Highway 80
Nancy, KY 42544-9020
Phone
(606) 872-2977
NPI assigned
Aug 13, 2008
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0972 KY
Professional Counselor 101YP2500X 104140 KY Primary

Addresses

Primary practice location

14987 W Highway 80
Nancy, KY 42544-9020

Mailing address

PO Box 812
Nancy, KY 42544-0812
Phone (606) 872-2977

Other practice location 1

14987 W Highway 80
Nancy, KY 42544-9020
Phone (606) 872-2977

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
I20240118000437 KY Practitioner - Mental Health Counselor 7810349586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0972KYMDProfessional Counselor
104140KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Creek Counseling Services LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Phoenix Preferred Care, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1801042684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "NANCY",
            "state": "KY",
            "postal_code": "425440812",
            "telephone_number": "606-872-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14987 W HIGHWAY 80",
            "city": "NANCY",
            "state": "KY",
            "postal_code": "425449020",
            "telephone_number": "606-872-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14987 W Highway 80",
            "address_purpose": "LOCATION",
            "city": "Nancy",
            "state": "KY",
            "postal_code": "425449020",
            "country_code": "US",
            "telephone_number": "606-872-2977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "credential": "NCC, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "0972",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nancy, KY

Sources for this page

Verify at the official NPI Registry.