Individual provider Active NPI

Farrah N Burgess, LPCC

  • Mental Health Counselor
  • Morganfield, KY
National Provider Identifier
1942549910
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104859
Practice address
111 S Morgan St
Morganfield, KY 42437
Phone
(270) 836-8670
NPI assigned
Feb 11, 2013
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 104859 Primary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

111 S Morgan St
Morganfield, KY 42437

Mailing address

111 S Morgan St
Morganfield, KY 42437-1552
Phone (270) 285-9023

Other practice location 1

230 2nd St
Suite 406
Henderson, KY 42420-3172
Phone (270) 826-8761

Other practice location 2

130 N Morgan St Ste 201
Morganfield, KY 42437-1477
Phone (270) 389-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003328 KY Practitioner - Mental Health Counselor 5698012805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0777KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Counseling Center Mental Health CurrentSince Jan 2, 2024 Accepting new patients
Stability Counseling and Associates LLC Mental Health PastSince Dec 18, 2022 Accepting new patients
Lighthouse Counseling Services, Inc. Mental Health PastSince Dec 19, 2012 Accepting new patients

Locations

230 2nd St
Ste 311
Henderson, KY 42420
Phone (270) 285-9023

111 S Morgan St
Morganfield, KY 42437
Phone (270) 285-9023

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1942549910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424371552",
            "telephone_number": "270-285-9023",
            "fax_number": "270-285-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "42437",
            "telephone_number": "270-836-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 2nd St",
            "address_2": "Suite 406",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203172",
            "country_code": "US",
            "telephone_number": "270-826-8761",
            "fax_number": "270-826-8737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 N Morgan St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Morganfield",
            "state": "KY",
            "postal_code": "424371477",
            "country_code": "US",
            "telephone_number": "270-389-4405",
            "fax_number": "270-389-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "FARRAH",
        "middle_name": "N",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "104859",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganfield, KY

Sources for this page

Verify at the official NPI Registry.