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BLUEGRASS PROFESSIONAL COUNSELING, LLC
NPI 1063899789
Counselor - Professional in Munfordville, KY

Active since May 01, 2015CLIA Certified · 3 labs
103 EAST SOUTH STREET, MUNFORDVILLE, KY 42765(270) 696-3181(877) 308-1668 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bluegrass Professional Counseling, Llc NPPES

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

BLUEGRASS PROFESSIONAL COUNSELING, LLC (NPI 1063899789) is a healthcare organization registered as a professional in Munfordville, Kentucky and active in the NPI registry since May 2015. The organization holds 3 active CLIA laboratory certificates and lists Jan Hatcher, Managing Employee, as its authorized official.

NPPES Registry Identity

NPI1063899789
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLUEGRASS PROFESSIONAL COUNSELING, LLC
Location Address103 EAST SOUTH STREETMunfordville, KY 42765
Mailing Address103 E South StMunfordville, KY 42765-9023 · (270) 696-3181 · Fax (877) 308-1668
Phone(270) 696-3181
Fax(877) 308-1668
Organization SubpartNo
Authorized OfficialJan HatcherManaging Employee · (270) 696-3181
Enumeration DateMay 1, 2015
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1063899789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 00211339
Also ListedSocial WorkerTaxonomy 104100000X · License 6908 (KY)
103 EAST SOUTH STREET, Munfordville, KY 42765
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100326630KY
Medicaid7100366710KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

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 18D2269724

Bluegrass Professional Counseling · Munfordville, KY
Active · expires Sep 29, 2026
CLIA Number18D2269724
Laboratory TypeMental Health Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorTobi Scott
Laboratory Phone(270) 696-3181
Laboratory LocationBluegrass Professional Counseling103 E South St, Munfordville, KY 42765
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2269722

Bluegrass Professional Counseling · Glasgow, KY
Active · expires Sep 29, 2026
CLIA Number18D2269722
Laboratory TypeMental Health Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorMs. Stefany Vaughn Mack
Laboratory Phone(270) 696-3181
Laboratory LocationBluegrass Professional Counseling115 Columbia Ave, Glasgow, KY 42141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2269723

Bluegrass Professional Counseling · Hodgenville, KY
Active · expires Sep 29, 2026
CLIA Number18D2269723
Laboratory TypeMental Health Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorMs. Mary Ann Jones
Laboratory Phone(270) 696-3181
Laboratory LocationBluegrass Professional Counseling103 Lincoln Dr, Hodgenville, KY 42748
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 2

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

SHAWN M LANHAM LCSW, LCADC
Social Worker (Clinical)
103 EAST SOUTH STREET
MUNFORDVILLE, KY 42765
Hart County (270) 696-3181
BENJAMIN STEVENS LPCC
Counselor (Professional)
103 EAST SOUTH STREET
MUNFORDVILLE, KY 42765
Hart County (270) 696-3181

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 Bluegrass Professional Counseling, LLC's NPI number?

The NPI number for Bluegrass Professional Counseling, LLC is 1063899789. It was assigned to this organization in the NPPES registry on May 1, 2015.

Where is Bluegrass Professional Counseling, LLC located?

Bluegrass Professional Counseling, LLC is located at 103 East South Street, Munfordville, KY 42765. The listed phone number is (270) 696-3181.

What is Bluegrass Professional Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Bluegrass Professional Counseling, LLC hold CLIA laboratory certificates?

Yes. 3 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 Bluegrass Professional Counseling, LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.