PROTEA BEHAVIORAL HEALTH COUNSELING PLLC NPI 1205429800

NPI Information

NPI: 1205429800
Provider Name: PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
80 HIGHWAY 2227
SOMERSET, KY
ZIP 42503
Phone: (937) 475-2702
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PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC is a professional counselor in Somerset, KY. PROTEA BEHAVIORAL HEALTH COUNSELING, PLLC NPI is 1205429800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

80 HIGHWAY 2227
SOMERSET, KY
ZIP 42503
Phone: (937) 475-2702

The provider's authorized official is Kristen Fields .
The authorized official title is Owner and has the following contact phone number (606) 485-4003.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YM0800X	Counselor	Mental Health	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
3	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100781560	MEDICAID	KENTUCKY
2	7100723630	MEDICAID	KENTUCKY
3	7100825800	MEDICAID	KENTUCKY
4	0490416	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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