MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
NPI 1013728740
Clinic/Center - Federally Qualified Health Center (FQHC) in Martin, KY

Active since January 14, 2025CLIA Certified · 7 labs
11206 MAIN ST, MARTIN, KY 41649(606) 285-3142 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mountain Comprehensive Care Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI 1013728740), doing business as Homeplace Behavioral Health - Martin, is a healthcare organization registered as a federally qualified health center (fqhc) in Martin, Kentucky and active in the NPI registry since January 2025. The organization holds 7 active CLIA laboratory certificates and lists Roxann Cordial, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1013728740
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Location Address11206 MAIN STMartin, KY 41649
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Organization SubpartNo
Authorized OfficialRoxann CordialCredentialing Manager · (606) 886-8572
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1013728740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
11206 MAIN ST, Martin, KY 41649

Other Names 1

Doing Business AsHomeplace Behavioral Health - Martin

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Comprehensive Care Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

236

Medicare enrollment records show 236 clinicians reassign Medicare billing to Mountain Comprehensive Care Center, Inc., which bills Medicare for the services they deliver. Of these, 183 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Mental Health Counselor79
Clinical Social Worker78
Nurse Practitioner57
Psychiatry5
Clinical Psychologist3
Optometry3
Dentist2
Obstetrics/Gynecology2
6 other specialties7

Nearest to this location (20)

See all 236
Clinical Social Worker
NPI 1740504174
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Clinical Social Worker
NPI 1427309509
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS6.2 mi
Psychiatry
NPI 1003131335
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1740649607
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Mental Health Counselor
NPI 1124162334
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS6.2 mi
Nurse Practitioner
NPI 1154001840
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Mental Health Counselor
NPI 1164840393
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS6.2 mi
Family Practice
NPI 1972796548
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Clinical Psychologist
NPI 1396917639
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-4350
✔ PECOS6.2 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1447243829
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Psychiatry
NPI 1225020332
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.2 mi
Pediatric Medicine
NPI 1881657054
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS6.2 mi
Pediatric Medicine
NPI 1245293331
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS6.2 mi
Obstetrics/Gynecology
NPI 1144537812
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.3 mi
Clinical Psychologist
NPI 1417033002
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.3 mi
Certified Nurse Midwife (CNM)
NPI 1922282078
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.3 mi
Optometry
NPI 1790885416
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.3 mi
Marriage and Family Therapist
NPI 1154031714
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare6.3 mi
Dentist
NPI 1306997432
781 S LAKE DR SUITE 1
Prestonsburg, KY 41653
(606) 886-2676
✔ PECOS6.9 mi
Dentist
NPI 1518010461
781 S LAKE DR SUITE 1
Prestonsburg, KY 41653
(606) 886-2676
✔ PECOS6.9 mi
See all 236 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D2269354

Mountain Comprehensive Care Center - Homeplace Ob/Gyn · Prestonsburg, KY
Active · expires Sep 25, 2028
CLIA Number18D2269354
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 26, 2026
Certificate Expiration DateSeptember 25, 2028
Laboratory DirectorDr. Jessica Branham
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Ob/Gyn22 Harbor Lane, Prestonsburg, KY 41653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 18D2190628

Mountain Comprehensive Care Center - Homeplace Clinic · Inez, KY
Active · expires Aug 17, 2028
CLIA Number18D2190628
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 18, 2026
Certificate Expiration DateAugust 17, 2028
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center - Homeplace Clinic428 E Main Street, Inez, KY 41224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2045319

Mountain Comprehensive Care Center, Inc · Paintsville, KY
Active · expires Aug 8, 2028
CLIA Number18D2045319
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorDr. Kristen Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc838 South Mayo Trail, Paintsville, KY 41240
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2305149

Mountain Comprehensive Care Center, Inc - Homeplace Clinic · Prestonsburg, KY
Active · expires May 27, 2028
CLIA Number18D2305149
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc - Homeplace Clinic456 South Lake Drive, Prestonsburg, KY 41653
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2290787

Mountain Comprehensive Care Center, Inc - Homeplace Clinic · Martin, KY
Active · expires Sep 29, 2027
CLIA Number18D2290787
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc - Homeplace Clinic263 Ky Route 122, Martin, KY 41649
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2327885

Mountain Comprehensive Care Center, Inc Homeplace Clinic · Salyersville, KY
Active · expires Jul 30, 2027
CLIA Number18D2327885
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(606) 886-8572
Laboratory LocationMountain Comprehensive Care Center, Inc Homeplace Clinic540 Parkway Drive, Salyersville, KY 41465
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Comprehensive Care Center, Inc.'s NPI number?

The NPI number for Mountain Comprehensive Care Center, Inc. is 1013728740. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Homeplace Behavioral Health - Martin.

Where is Mountain Comprehensive Care Center, Inc. located?

Mountain Comprehensive Care Center, Inc. is located at 11206 Main St, Martin, KY 41649. The listed phone number is (606) 285-3142.

What is Mountain Comprehensive Care Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mountain Comprehensive Care Center, Inc. enrolled in Medicare?

Yes. Mountain Comprehensive Care Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Comprehensive Care Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 236 clinicians in 14 Medicare specialties reassign their Medicare billing to Mountain Comprehensive Care Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (79), Clinical Social Worker (78) and Nurse Practitioner (57). Of these, 183 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Comprehensive Care Center, Inc. hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mountain Comprehensive Care Center, Inc. was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.