| Christopher D Humphrey, LPCC | |
|
830 Tyrone Pike, Versailles, KY 40383-1323 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Christopher D Humphrey |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 830 Tyrone Pike, Versailles, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093233520 | NPI | - | NPPES |
| 15745411 | Other | KY | CAQH |
| 7100865630 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 280915 (Kentucky) | Primary |
| Entity Name | Cumberland Family Medical Center, Inc.. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher D Humphrey, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Christopher D Humphrey, LPCC 830 Tyrone Pike, Versailles, KY 40383-1323 Ph: (844) 435-0900 |
Mrs. Heather Godwin Kirkland, MS, LPCC-S, JSOCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Lexington Rd, Versailles, KY 40383 Phone: 859-873-9277 | |
Miss Alyssa P. Vitali, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Wilson Ave, Versailles, KY 40383 Phone: 859-753-6626 Fax: 859-787-0552 | |
Mrs. Veronica Jo Singleton, MA LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 | |
Charlene Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4185 Lexington Rd, Versailles, KY 40383 Phone: 859-873-9277 Fax: 859-873-9280 | |
Matthew Fowler, M.A. LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 | |
Amber Kristin Hord-helme, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 220 Frankfort St Ste 1, Versailles, KY 40383 Phone: 859-753-7196 Fax: 859-214-4498 |