ANGELYN MEDLEY LPCC
NPI 1942749171
Counselor - Professional in Grayson, KY

Q: What is Angelyn Medley's NPI number?

The NPI number for Angelyn Medley is 1942749171. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Q: What is Angelyn Medley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angelyn Medley was last updated on July 17, 2024. 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.

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment

840 INTERSTATE DR, GRAYSON, KY 41143(606) 329-8588(606) 329-8195 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 17, 2024, Jul 28, 2021, Feb 20, 2018 and 1 more (4 updates tracked since 2017).

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About Angelyn Medley Lpcc NPPES

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

ANGELYN MEDLEY LPCC (NPI 1942749171) is an individual professional provider in Grayson, Kentucky, licensed in Kentucky (266703) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942749171

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameANGELYN MEDLEYCredential: LPCC

Location Address840 INTERSTATE DRGrayson, KY 41143-1768

Mailing AddressPo Box 790Ashland, KY 41105-0790 · (606) 329-8588 · Fax (606) 329-8195

Phone(606) 329-8588

Fax(606) 329-8195

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 21, 2017

Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1942749171 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 · 266703

Also ListedCounselorTaxonomy 101Y00000X · License 240248 (KY)

840 INTERSTATE DR, Grayson, KY 41143

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angelyn Medley Lpcc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739539917

PECOS Enrollment IDI20231229002649

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DIEDRA FIELDS

Case Manager/Care Coordinator