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

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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: July 19, 2026.

On this page

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

Phone(606) 285-3142

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

Open in Google Maps ↗

Other Names 1

Doing Business AsHomeplace Behavioral Health - Martin

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 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.

Certificate of Waiver 18D1004267

Mountain Comprehensive Care Center Inc Homeplace Clinic · Chavies, KY

Active · expires May 27, 2027

CLIA Number18D1004267

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 28, 2025

Certificate Expiration DateMay 27, 2027

Laboratory DirectorDr. Kristin Freeman

Laboratory Phone(606) 886-8572

Laboratory LocationMountain Comprehensive Care Center Inc Homeplace Clinic270 First Street, Chavies, KY 41727

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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

Mountain Comprehensive Care Center - Homeplace Ob/Gyn · Prestonsburg, KY

Active · expires Sep 25, 2026

CLIA Number18D2269354

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 26, 2024

Certificate Expiration DateSeptember 25, 2026

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, 2026

CLIA Number18D2190628

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 18, 2024

Certificate Expiration DateAugust 17, 2026

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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE BURGESS MA/PE

Counselor (Mental Health)