Genevieve Thomas, LPCA
Individual provider Active NPI Professional Counselor · Edmonton, KY
NPI 1831426501 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1831426501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- KY-0951 (KY)
- Practice address
- 112 Sartin Dr
Edmonton, KY 42129-8170 - Phone
- (270) 432-4951
- Fax
- (270) 432-5054
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016001582 | KY | Practitioner - Mental Health Counselor | 9537691472 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0951 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriveworks Kentucky - Clinical | Current |
Accepting new patients | |
| Lifeskills, Inc. | Past |
Accepting new patients |
Locations
310 E Main Ave
#202
Bowling Green, KY 42101
120 Prosperous Pl
Ste 207
Lexington, KY 40509
Phone (502) 735-1924
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | KY-0951 | KY | Yes |
Addresses
Primary practice location
112 Sartin Dr
Edmonton, KY 42129-8170
Mailing address
112 Sartin Dr
Edmonton, KY 42129-8170
Phone (270) 432-4951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30604011 | Medicaid | KY |
Other providers in Edmonton, KY
- Shuffett'S Adult Day Care, Inc.
- Lindsay Jo Stice Huff
- Kelsey Sturgeon
- T J Health Columbia Inc
- Danietta Kaye Taylor
- Kelly McMurtrey Thompson
- Tawni Vincent
- Casey Aaron Wade
- Walgreen Co
- Cheryl Gilchrist Whitlow
All providers in Edmonton, 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 Nov 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.