Organization Active NPI

Commonwealth Behavioral Health & Counseling

  • Professional Counselor
  • Mt Sterling, KY
National Provider Identifier
1932738523
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING
Practice address
29 N Maysville St
Mount Sterling, KY 40353-1315
Phone
(859) 520-3041
Fax
(859) 432-8935
NPI assigned
Apr 6, 2020
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Charlotte Ann Farris, LPCCNPI 1508239229
Title
Ceo
Phone
(859) 520-3041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

29 N Maysville St
Mount Sterling, KY 40353-1315

Mailing address

29 N Maysville St
Mount Sterling, KY 40353-1315
Phone (859) 520-3041

Other identifiers 1

IdentifierTypeStateIssuer
7100484190MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Behavioral Health Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1932738523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531315",
            "telephone_number": "859-520-3041",
            "fax_number": "859-432-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531315",
            "telephone_number": "859-520-3041",
            "fax_number": "859-432-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH BEHAVIORAL HEALTH & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-520-3041",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100484190",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.