Individual provider Active NPI

Katherine Clevenger, LPCC

  • Mental Health Counselor
  • Stanton, KY
National Provider Identifier
1972953396
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
292254 Issued in KY
Practice address
700 W College Ave
Stanton, KY 40380-2224
Phone
(859) 585-2061
Fax
(859) 498-8160
NPI assigned
Jun 16, 2016
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 292254 KY Primary

Addresses

Primary practice location

700 W College Ave
Stanton, KY 40380-2224

Mailing address

236 W Main St
Mount Sterling, KY 40353-1348
Phone (859) 404-7686

Other practice location 1

108 W Madison St Ste B
Louisa, KY 41230-1327
Phone (068) 260-3416

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
I20241231002654 KY Practitioner - Mental Health Counselor 3577090646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc CurrentSince Dec 1, 2024 Accepting new patients
Sterling Health Solutions, Inc CurrentSince Dec 1, 2024 Accepting new patients

Locations

44 Water St
Owingsville, KY 40360
Phone (606) 674-9776

700 W College Ave
Stanton, KY 40380
Phone (606) 663-2511

770 W College Ave
Stanton, KY 40380
Phone (606) 663-4360

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1972953396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W MAIN ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531348",
            "telephone_number": "859-404-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W COLLEGE AVE",
            "city": "STANTON",
            "state": "KY",
            "postal_code": "403802224",
            "telephone_number": "859-585-2061",
            "fax_number": "859-498-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W Madison St Ste B",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301327",
            "country_code": "US",
            "telephone_number": "068-260-3416",
            "fax_number": "606-826-0349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "KATHERINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "292254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, KY

Sources for this page

Verify at the official NPI Registry.