| Nicholas T Porritt, LMFT | |
|
830 Tyrone Pike, Versailles, KY 40383-1323 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Nicholas T Porritt |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| 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 |
|---|---|---|---|
| 1366282386 | NPI | - | NPPES |
| 7100999640 | Medicaid | KY | |
| 16215997 | Other | KY | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 291091 (Kentucky) | Secondary |
| 106H00000X | Marriage & Family Therapist | 291091 (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 |
|---|---|
| Nicholas T Porritt, LMFT Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Nicholas T Porritt, LMFT 830 Tyrone Pike, Versailles, KY 40383-1323 Ph: (844) 435-0900 |
Katherine Ann Skeen-morris, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: Woodford County High Healthy Kids Clinic, 180 Frankfort St, Versailles, KY 40383 Phone: 844-435-0900 Fax: 270-858-4029 | |
Mr. Joshua D Johnston, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125b Big Sink Rd, Versailles, KY 40383 Phone: 859-253-1686 Fax: 859-254-2743 | |
Melissa A Mott, MA, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 125 Big Sink Rd # B, Versailles, KY 40383 Phone: 859-253-1686 Fax: 859-254-2743 |