MEDICARE: GAINES & ASSOCIATES COUNSELING OF THE COMMONWEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	171M00000X	Case Manager/Care Coordinator
3	251S00000X	Community/Behavioral Health Agency
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	1041C0700X	Clinical Social Worker
6	101YP2500X	Professional Counselor
7	101YM0800X	Mental Health Counselor

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	:	1114484649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAINES & ASSOCIATES COUNSELING OF THE COMMONWEALTH LLC

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	:	OWNER, COUNSELOR
Name	:	TONI GAINES
Credential	:	LPCC-S
Telephone Number	:	502-783-7573

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	02/12/2026

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