MEDICARE: MRS. TONI LEE GAINES M.ED, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	LPCA 1447	KY
3	101YM0800X	Mental Health Counselor	171479	KY
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	165754	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447509385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONI LEE GAINES M.ED, LPCC

Provider Business Mailing Address
First Line	:	244 W IRVINE ST
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-1438
Country	:	US
Telephone Number	:	502-783-7573
Fax Number	:	844-822-8194

Provider Business Practice Location Address
First Line	:	244 W IRVINE ST
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-1438
Country	:	US
Telephone Number	:	502-783-7573
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2012
Last Update Date	:	05/31/2025

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