| Nicole Katelyn Rogers, LPCC | |
|
426 Commerce Drive, Greensburg, KY 42743 | |
| (270) 299-2222 | |
| (270) 299-2211 |
| Full Name | Nicole Katelyn Rogers |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 426 Commerce Drive, Greensburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093858755 | NPI | - | NPPES |
| 30605018 | Medicaid | KY | |
| 7100289710 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 103576 (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 |
|---|---|
| Nicole Katelyn Rogers, LPCC Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Nicole Katelyn Rogers, LPCC 426 Commerce Drive, Greensburg, KY 42743 Ph: (270) 299-2222 |
Courtney Nicole Thompson, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 302 Brummal Ave, Greensburg, KY 42743 Phone: 844-435-0900 Fax: 270-858-4029 | |
Debbie Graham, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Old Hodgenville Rd, Greensburg, KY 42743 Phone: 270-932-3226 Fax: 270-932-5328 | |
Amanda Mcilvoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Public Sq, Greensburg, KY 42743 Phone: 502-203-4253 | |
Samantha M Rouse, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 2680 Campbellsville Rd, Greensburg, KY 42743 Phone: 270-401-1157 | |
John Lawrence Brock, Jr., CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Old Hodgenville Rd, Greensburg, KY 42743 Phone: 270-932-3226 | |
Brittany Nicole Rhoten, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2680 Campbellsville Road, Greensburg, KY 42743 Phone: 270-937-0157 |