Christa L Faulkner, LPCC
Individual provider Active NPI Mental Health Counselor · Burgin, KY
NPI 1992886550 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1992886550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 103674 (KY)
- Practice address
- PO Box 98
Burgin, KY 40310-0098 - Phone
- (502) 509-3780
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103674 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 103674 | KY | Yes |
Addresses
Primary practice location
PO Box 98
Burgin, KY 40310-0098
Mailing address
PO Box 98
Burgin, KY 40310-0098
Phone (502) 509-3780
Other providers in Burgin, KY
All providers in Burgin, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.