Michael Travis Adams, LPCC
Individual provider Active NPI Professional Counselor · Lexington, KY
NPI 1851721732 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1851721732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 248480 (KY)
- Practice address
- 2250 Thunderstick Dr
Lexington, KY 40505-9010 - Phone
- (859) 254-1035
- NPI assigned
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20240108000372 | KY | Practitioner - Mental Health Counselor | 0244681955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KVC Behavioral Healthcare Kentucky Inc | Professional | Current |
Accepting new patients |
Locations
2250 Thunderstick Dr
Ste 1104
Lexington, KY 40505
Phone (859) 300-9513
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 248480 | KY | Yes |
| Counselor | 101Y00000X | 248480 | KY |
Addresses
Primary practice location
2250 Thunderstick Dr
Lexington, KY 40505-9010
Mailing address
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (859) 254-1035
Other providers in Lexington, KY
- Lesley Boeh Adams
- Madden Olivia Adams
- Madison Jade Keene Adams
- Margaret A. Adams
- Megan Elizabeth Adams
- Michelle Adams
- Michelle F Adams
- Misty Adams
- Paul Mark Adams Jr.
- Paul Michael Adams III
All providers in Lexington, 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 May 13, 2020. 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.