Shelby Nichole Crisp, in Nicholasville, KY - Medicare Counselor Provider

Shelby Nichole Crisp, is a medicare enrolled "Counselor - Mental Health" provider in Nicholasville, Kentucky. Her current practice location is 504 N Main St Ste B, Nicholasville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 759-1223.

Shelby Nichole Crisp is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902375868.

Contact Information

	Shelby Nichole Crisp,
	504 N Main St Ste B, Nicholasville, KY 40356-1125
	(859) 759-1223
	(859) 759-0970

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Nichole Crisp
Gender	Female
Speciality	Counselor - Mental Health
Location	504 N Main St Ste B, Nicholasville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902375868
Provider Enumeration Date: 11/20/2018
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4587007869
Enrollment ID: I20240205001145

Medical Identifiers

Medical identifiers for Shelby Nichole Crisp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902375868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby Nichole Crisp allows following entities to bill medicare on her behalf.

Entity Name	Kentucky Counseling Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750733010 PECOS PAC ID: 7517202625 Enrollment ID: O20181218002626

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Nichole Crisp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelby Nichole Crisp, 504 N Main St Ste B, Nicholasville, KY 40356-1125 Ph: (859) 759-1223	Shelby Nichole Crisp, 504 N Main St Ste B, Nicholasville, KY 40356-1125 Ph: (859) 759-1223

Reviews and Comments

Counselor in Nicholasville, KY

Donna Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Southview Dr, Nicholasville, KY 40356 Phone: 859-253-1686
Mrs. Dinah Jean Walker, LPCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Leda Dr, Nicholasville, KY 40356 Phone: 859-410-3114
Anna Katelin Johnson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1842 Delaney Ferry Rd, Nicholasville, KY 40356 Phone: 859-433-9220
Michelle M Harrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 W. Maple Street, Nicholasville, KY 40356 Phone: 706-273-8557
Katherine (kasi) Christine Rowlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 N 2nd Street Ext, Nicholasville, KY 40356 Phone: 502-592-4772
Jessica Lynn Speelman, M.ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Quinn Dr, Nicholasville, KY 40356 Phone: 859-241-3085 Fax: 877-712-3835
Ms. Tonda L Forman, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Southview Dr, Nicholasville, KY 40356 Phone: 859-253-1686 Fax: 859-254-2743

Shelby Nichole Crisp, - Medicare Counselor in Nicholasville, KY