Monica T Bledsoe, LPCC
Individual provider Active NPI Mental Health Counselor · Glasgow, KY
NPI 1851541833 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1851541833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 103017 (KY)
- Practice address
- 301 Professional Park Dr
Glasgow, KY 42141-3487 - Phone
- (270) 651-9696
- Fax
- (270) 651-0385
- NPI assigned
- Sep 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20240111003805 | KY | Practitioner - Mental Health Counselor | 3971954124 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0934 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
383 Lancaster St
Crab Orchard, KY 40419
Phone (270) 858-6655
301 Professional Park Dr
Glasgow, KY 42141
Phone (270) 651-5004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0934 | KY | |
| Mental Health Counselor | 101YM0800X | 103017 | KY | Yes |
Addresses
Primary practice location
301 Professional Park Dr
Glasgow, KY 42141-3487
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11891021 | Other | CAQH | |
| 7100293270 | Medicaid | KY |
Other providers in Glasgow, KY
- Leslie Mischelle Birge
- Ashley Garrett Biven
- Lana Blaine
- Jessica Lynn Blair
- Madeline Rose Blair
- Bloom Pediatric Therapy
- Bluegrass Vein Clinic
- Amanda Michelle Blythe
- Bogdan R Marcol MD Facs PSC
- Jeffrey Allen Boggs
All providers in Glasgow, KY · Mental Health 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 May 12, 2023. 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.