KELSEY D LEVERIDGE NPI 1679224257

NPI Information

NPI: 1679224257
Provider Name: KELSEY D LEVERIDGE
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
101 TOWN AND COUNTRY LN STE 106
HAZARD, KY
ZIP 41701
Phone: (606) 435-7557
Get Directions

Kelsey D Leveridge is a professional counselor in Hazard, KY. Kelsey D Leveridge NPI is 1679224257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 TOWN AND COUNTRY LN STE 106
HAZARD, KY
ZIP 41701-524
Phone: (606) 435-7557
Fax: (606) 435-7558

The enumeration date for this NPI number is 1/14/2022 and was last updated on 2/13/2024.

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	License Number	License State	Primary
1	101Y00000X	Counselor		260760	KENTUCKY	No
2	101YP2500X	Counselor	Professional	277285	KENTUCKY	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	Other Provider Identifier Issuer
1	7100815470	MEDICAID	KENTUCKY

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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