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Christina G. Bacon, MS, LPP

NPI 1487704649ActiveIndividual· Psychologist· Berea, KY

Opted out of Medicare from September 2024 to September 2028. Psychologist (MS, LPP) in Berea, Kentucky, licensed in KY, with an NPI issued in January 2007.

Overview

NPI1487704649
StatusActive
Entity typeIndividual
CredentialMS, LPP
Sole proprietorNo
NPI issuedJan 11, 2007
Last updated in NPPESSep 9, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X247601KY
Psychologist103T00000X137685KY
Psychologist, Counseling103TC1900X247601KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Sep 1, 2024 – Sep 1, 2028
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Other Psychologist providers in Berea

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