MRS. CHRISTINA G BACON MS, LPP
NPI 1487704649
Psychologist in Berea, KY

Active since January 11, 2007Opted out of Medicare · through Sep 1, 2026
292 GLADES RD STE 8, BEREA, KY 40403(859) 985-7862(859) 972-0616 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2019, Jun 10, 2019, May 16, 2018 and 1 more (4 updates tracked since 2016).

About Mrs. Christina G Bacon Ms, Lpp NPPES

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

MRS. CHRISTINA G BACON MS, LPP (NPI 1487704649) is an individual psychologist in Berea, Kentucky, licensed in Kentucky (247601) and active in the NPI registry since January 2007. She has opted out of Medicare through September 1, 2026.

NPPES Registry Identity

NPI1487704649
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. CHRISTINA G BACONCredential: MS, LPP
Location Address292 GLADES RD STE 8Berea, KY 40403
Mailing Address212 Oak Branch DrBerea, KY 40403-9581 · (859) 302-1768
Fax(859) 972-0616
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 9, 20194 updates tracked since enumeration
NPI 1487704649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in KY · 247601 Licensed in KY · 137685
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 247601 (KY)
292 GLADES RD STE 8, Berea, KY 40403

Other Identifiers 1

Medicaid7100610370KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Christina G Bacon Ms, Lpp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2024 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2024
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

Community Health Worker
292 GLADES RD STE 8
BEREA, KY 40403
Case Manager/Care Coordinator
292 GLADES RD STE 8
BEREA, KY 40403
Case Manager/Care Coordinator
292 GLADES RD STE 8
BEREA, KY 40403
Case Manager/Care Coordinator
292 GLADES RD STE 8
BEREA, KY 40403
Nurse Practitioner (Psychiatric/Mental Health)
292 GLADES RD STE 8
BEREA, KY 40403
Case Manager/Care Coordinator
292 GLADES RD STE 8
BEREA, KY 40403
Counselor (Mental Health)
292 GLADES RD STE 8
BEREA, KY 40403
Case Manager/Care Coordinator
292 GLADES RD STE 8
BEREA, KY 40403

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 Christina Bacon's NPI number?

The NPI number for Christina Bacon is 1487704649. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Christina Bacon located?

Christina Bacon practices at 292 Glades Rd Ste 8, Berea, KY 40403. The listed phone number is (859) 985-7862.

What is Christina Bacon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Christina Bacon enrolled in Medicare?

No. Christina Bacon has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Christina Bacon was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.