Individual provider Active NPI

Brittni Renee Tichenor, LPCA

  • Counselor
  • Madisonville, KY
National Provider Identifier
1851176010
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
283889 Issued in KY
Practice address
1840 Lantaff Blvd Ste 100
Madisonville, KY 42431-9403
Phone
(270) 601-4235
Fax
(270) 350-4673
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 283889 KY Primary

Addresses

Primary practice location

1840 Lantaff Blvd Ste 100
Madisonville, KY 42431-9403

Mailing address

PO Box 250
Kuttawa, KY 42055-0250
Phone (270) 601-4235

Other practice location 1

68 Cedar St
Kuttawa, KY 42055-6287
Phone (270) 601-4235

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

LicenseStateTypeSpecialty
283889KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Place LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

68 Cedar St
Kuttawa, KY 42055
Phone (270) 601-4235

1840 Lantaff Blvd
Ste 100
Madisonville, KY 42431
Phone (270) 601-4235

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1851176010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "KUTTAWA",
            "state": "KY",
            "postal_code": "420550250",
            "telephone_number": "270-601-4235",
            "fax_number": "270-350-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 LANTAFF BLVD STE 100",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319403",
            "telephone_number": "270-601-4235",
            "fax_number": "270-350-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Kuttawa",
            "state": "KY",
            "postal_code": "420556287",
            "country_code": "US",
            "telephone_number": "270-601-4235",
            "fax_number": "270-350-4673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICHENOR",
        "first_name": "BRITTNI",
        "middle_name": "RENEE",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "283889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.