| Kacie Dawn Altizer, | |
|
374 N Ky 7, Sandy Hook, KY 41171-7938 | |
| (606) 738-6163 | |
| (859) 241-3787 |
| Full Name | Kacie Dawn Altizer |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 374 N Ky 7, Sandy Hook, Kentucky |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942824248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 291245 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Counseling Center Llc | 5597115782 | 11 |
| Entity Name | Appalachian Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928877 PECOS PAC ID: 5597115782 Enrollment ID: O20231229002926 |
| Mailing Address | Practice Location Address |
|---|---|
| Kacie Dawn Altizer, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8195 | Kacie Dawn Altizer, 374 N Ky 7, Sandy Hook, KY 41171-7938 Ph: (606) 738-6163 |
Emily Kiser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 Fax: 606-738-5030 | |
Gena Renee Maggard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 Fax: 606-738-5030 | |
Lori Case, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-329-8588 Fax: 606-329-8588 | |
Roseann Rhoden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-329-8588 | |
Kalyn Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 | |
Karen Lynn Rose, CSA Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-6163 | |
Eric Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 374 N Ky 7, Sandy Hook, KY 41171 Phone: 866-233-1955 Fax: 606-473-7335 |