MEDICARE: MINDSIGHT PLLC

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	101YP2500X	Professional Counselor		KY

General Provider Information

NPI Number	:	1417324989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDSIGHT PLLC

Provider Business Mailing Address
First Line	:	PO BOX 3932
Second Line	:
City	:	WEST SOMERSET
State	:	KY
Zip	:	42564-3932
Country	:	US
Telephone Number	:	606-401-2966
Fax Number	:	606-451-9624

Provider Business Practice Location Address
First Line	:	600 MONTICELLO ST STE 2
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42501-2974
Country	:	US
Telephone Number	:	606-401-2966
Fax Number	:	606-244-4111

Authorized Official
Title or Position	:	CEO
Name	:	KASEY RENEE COMPTON
Credential	:	LPCC
Telephone Number	:	606-401-2966

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	04/01/2024

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