Active NPI
Kelly M Sincavage, MS, NCC, LPCA
- Mental Health Counselor
- Ashland, KY
National Provider Identifier
1942516984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1557 Winchester Ave
Suite2
Ashland, KY 41101-7636 - Phone
- (606) 329-9333
- Fax
- (606) 329-0468
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1557 Winchester Ave
Suite2
Ashland, KY 41101-7636
Mailing address
1557 Winchester Ave
Suite2
Ashland, KY 41101-7636
Phone (606) 329-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 13, 2024 through Feb 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7345 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1942516984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 WINCHESTER AVE",
"address_2": "SUITE2",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017636",
"telephone_number": "606-329-9333",
"fax_number": "606-329-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 WINCHESTER AVE",
"address_2": "SUITE2",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017636",
"telephone_number": "606-329-9333",
"fax_number": "606-329-0468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINCAVAGE",
"first_name": "KELLY",
"middle_name": "M",
"credential": "MS, NCC, LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.