MOUNTAIN COMPREHENSIVE CARE CENTER, INC.
NPI 1770121972
Clinic/Center - Federally Qualified Health Center (FQHC) in Cynthiana, KY

Active since December 18, 2019CLIA 18D2176720 · Waiver
210 S WALNUT ST, CYNTHIANA, KY 41031(606) 886-8572(606) 886-4433 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 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 1770121972), doing business as Homeplace Clinic Cynthiana, is a healthcare organization registered as a federally qualified health center (fqhc) in Cynthiana, Kentucky and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Roxann Cordial, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1770121972
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMOUNTAIN COMPREHENSIVE CARE CENTER, INC.
Location Address210 S WALNUT STCynthiana, KY 41031-1541
Mailing Address210 S Walnut StCynthiana, KY 41031-1541 · (606) 886-8572 · Fax (606) 886-4433
Fax(606) 886-4433
Organization SubpartNo
Authorized OfficialRoxann CordialCredentialing · (606) 886-8572
Enumeration DateDecember 18, 2019
✔ NPI 1770121972 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
210 S WALNUT ST, Cynthiana, KY 41031

Other Names 1

Doing Business AsHomeplace Clinic Cynthiana

Accepted Insurance

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, 1 practice at this address. 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
Nurse Practitioner
NPI 1407367493
210 S. WALNUT ST.
Cynthiana, KY 41031
(859) 298-2011
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1437349073
1351 NEWTOWN PIKE
Lexington, KY 40511
(859) 253-1686
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1740701978
1351 NEWTOWN PIKE BLDG 1
Lexington, KY 40511
(859) 253-1686
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1255888749
1351 NEWTOWN PIKE BLDG 1
Lexington, KY 40511
(859) 253-1686
✔ PECOS✔ Accepts Medicare24 mi
Clinical Social Worker
NPI 1134599020
1351 NEWTOWN PIKE BLDG 1
Lexington, KY 40511
(859) 253-1686
✔ PECOS24 mi
Mental Health Counselor
NPI 1841774973
19 WAINSCOTT AVE
Winchester, KY 40391
(859) 595-5860
✔ PECOS28 mi
Obstetrics/Gynecology
NPI 1700870078
160 N EAGLE CREEK DR STE 400
Lexington, KY 40509
(859) 258-5220
✔ PECOS✔ Accepts Medicare28 mi
Mental Health Counselor
NPI 1487139267
420 SHARKEY RD
Morehead, KY 40351
(606) 356-6018
✔ PECOS43 mi
Clinical Social Worker
NPI 1699006965
115 ROCKWOOD LN
Hazard, KY 41701
(606) 436-5761
✔ PECOS61 mi
Internal Medicine
NPI 1952391724
270 FIRST ST
Chavies, KY 41727
(606) 487-8188
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1851973044
354 N MAYO TRL
Paintsville, KY 41240
(606) 789-8666
✔ PECOS89 mi
Optometry
NPI 1982525473
341 COURT ST
Paintsville, KY 41240
(606) 789-4675
✔ PECOS90 mi
Psychiatry
NPI 1891705877
1101 S MAY TRAIL
Paintsville, KY 41240
(606) 789-3518
✔ PECOS✔ Accepts Medicare91 mi
Dentist
NPI 1306997432
781 S LAKE DR SUITE 1
Prestonsburg, KY 41653
(606) 886-2676
✔ PECOS96 mi
Clinical Psychologist
NPI 1962632398
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS97 mi
Marriage and Family Therapist
NPI 1154031714
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare97 mi
Certified Nurse Midwife (CNM)
NPI 1922282078
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare97 mi
Family Practice
NPI 1972796548
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare97 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1447243829
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS✔ Accepts Medicare97 mi
Pediatric Medicine
NPI 1881657054
104 S FRONT AVE
Prestonsburg, KY 41653
(606) 886-8572
✔ PECOS97 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

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 18D2176720

Mountain Comprehensive Care Center - Cynthiana Home Place Clinic · Cynthiana, KY
Active · expires Dec 22, 2027
CLIA Number18D2176720
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Kristin Freeman
Laboratory Phone(859) 298-2011
Laboratory LocationMountain Comprehensive Care Center - Cynthiana Home Place Clinic210 South Walnut Street, Cynthiana, KY 41031
CLIA data matches this NPI record on: Address Name
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 1770121972. It was assigned to this organization in the NPPES registry on December 18, 2019. The provider is doing business as Homeplace Clinic Cynthiana.

Where is Mountain Comprehensive Care Center, Inc. located?

Mountain Comprehensive Care Center, Inc. is located at 210 S Walnut St, Cynthiana, KY 41031. The listed phone number is (606) 886-8572.

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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 18D2176720) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Comprehensive Care Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mountain Comprehensive Care Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Comprehensive Care Center, Inc. was last updated on December 18, 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.