MEDICARE: KIELEE THOMPSON 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	101YP2500X	Professional Counselor	302178	KY

General Provider Information

NPI Number	:	1821961236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIELEE THOMPSON LPCC

Provider Business Mailing Address
First Line	:	PO BOX 2
Second Line	:
City	:	SOMERSET
State	:	KY
Zip	:	42502-0002
Country	:	US
Telephone Number	:	606-451-9379
Fax Number	:	606-451-8149

Provider Business Practice Location Address
First Line	:	1300 GARDINER LN STE 7
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40213-1967
Country	:	US
Telephone Number	:	606-451-9379
Fax Number	:	606-451-8149

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

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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