| Emily J Klingensmith, LPCC | |
|
Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 | |
| (844) 435-0900 | |
| Not Available |
| Full Name | Emily J Klingensmith |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356701353 | NPI | - | NPPES |
| 14478733 | Other | KY | CAQH |
| 7100607120 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCCCA00225150 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 248597 (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 |
|---|---|
| Emily J Klingensmith, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Emily J Klingensmith, LPCC Jones Park Elementary Healthy Kids Clinic 6295 E Ky 70, Liberty, KY 42539 Ph: (844) 435-0900 |
Kristal Mullins, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6295 E Ky 70, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
William Wethington, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Jolene Blevins, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg St, Liberty, KY 42539 Phone: 606-787-9472 | |
Sarah M Durham, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 75 College St, Liberty, KY 42539 Phone: 844-435-0900 Fax: 270-858-4029 | |
John W Weddle, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 Fax: 606-787-7344 | |
Matana Poff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Middleburg Street, Liberty, KY 42539 Phone: 606-787-9472 |