Individual provider Active NPI

Meagan Nichole Ott, MSW, LCSW

  • Clinical Social Worker
  • Berea, KY
National Provider Identifier
1942855440
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255962 Issued in KY
Practice address
208 Kidd Dr
Berea, KY 40403-9593
Phone
(859) 428-7862
Fax
(859) 999-7869
NPI assigned
Aug 2, 2019
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255962 KY Primary

Addresses

Primary practice location

208 Kidd Dr
Berea, KY 40403-9593

Mailing address

PO Box 802
Berea, KY 40403-0802
Phone (859) 428-7862

Other identifiers 1

IdentifierTypeStateIssuer
7100763890MedicaidKY

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
I20210902001417 KY Practitioner - Clinical Social Worker 9537565353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parsons Counseling LLCGroup PAC ID 1557744984, 7 clinicians

Practice addresses (Care Compare)

208 Kidd Dr
Berea, KY 40403-9593
Phone (859) 428-7862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255962KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parsons Counseling, LLC Mental Health CurrentSince Jan 3, 2022 Accepting new patients
Cumberland River Behavioral Health, Inc CurrentSince Aug 20, 2021 Accepting new patients

Locations

704 Pitzer St
Barbourville, KY 40906
Phone (606) 546-3104

208 Kidd Dr
Berea, KY 40403
Phone (859) 428-7862

610 American Greeting Card Rd
Corbin, KY 40701
Phone (606) 526-9552

134 Comprehensive Dr
Harlan, KY 40831
Phone (606) 573-1624

349 Riverbend Rd
London, KY 40744
Phone (606) 878-7013

915 N Laurel Rd
London, KY 40741
Phone (606) 864-2104

565 Muddy Gap Rd
Manchester, KY 40962
Phone (606) 598-5172

1348 Highway 421 N
McKee, KY 40447
Phone (606) 287-7137

324 N 19th St
Middlesboro, KY 40965
Phone (606) 248-4949

215 W Tennessee Ave
Pineville, KY 40977
Phone (606) 337-6137

285 Cemetery Rd
Williamsburg, KY 40769
Phone (606) 549-1440

Organizations & group practices 2

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1942855440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030802",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KIDD DR",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039593",
            "telephone_number": "859-428-7862",
            "fax_number": "859-999-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "MEAGAN",
        "middle_name": "NICHOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100763890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.