Brandy Michelle Hancock, L.P.C.C.
Individual provider Active NPI Counselor · Greensburg, KY
NPI 1891174033 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1891174033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- KY-0775 (KY)
- Practice address
- 584 Skinhouse Branch Rd
Greensburg, KY 42743-8750 - Phone
- (270) 932-3301
- Fax
- (270) 299-2331
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1115 Jamestown St
Columbia, KY 42728-1050
Phone (270) 299-6389
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 |
|---|---|---|---|---|
| I20240412000277 | KY | Practitioner - Mental Health Counselor | 8527407402 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0775 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapters of Life LLC | Counselor | Current |
Accepting new patients |
| Ohio River Health Center Corporation | Mental Health | Past | Accepting new patients |
Locations
1115 Jamestown St
Columbia, KY 42728
Phone (270) 299-6389
1115 Jamestown St
Ste 2
Columbia, KY 42728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | KY-0775 | KY | Yes |
| Mental Health Counselor | 101YM0800X | KY-0775 | KY | |
| Professional Counselor | 101YP2500X | KY-0775 | KY |
Addresses
Primary practice location
584 Skinhouse Branch Rd
Greensburg, KY 42743-8750
Mailing address
584 Skinhouse Branch Rd
Greensburg, KY 42743-8750
Phone (270) 932-3301
Other providers in Greensburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.