Provider Demographics
NPI:1770911497
Name:GROVES, REBECCA (LPCC,NCC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:GROVES
Suffix:
Gender:F
Credentials:LPCC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 FORTUNE DR STE 225
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-4703
Mailing Address - Country:US
Mailing Address - Phone:859-226-5022
Mailing Address - Fax:859-694-5667
Practice Address - Street 1:2331 FORTUNE DR STE 225
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-4703
Practice Address - Country:US
Practice Address - Phone:859-226-5022
Practice Address - Fax:859-694-5667
Is Sole Proprietor?:No
Enumeration Date:2013-10-15
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY103812101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY270795565Medicaid