Individual ProviderKristen Fodi GillespieCounselorBehavioral Health & Social Service ProvidersPractice Address7459 Burlington Pike, Florence, KY 41042-1553(859) 282-6585(859) 578-3204PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Fodi Gillespie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1598190183Provider TypeIndividualFull NameFodi Gillespie, KristenCredentialLPCCGenderFemaleSole ProprietorNoEnumeration Date9/13/2013Last Updated6/3/2016Contact InformationPractice LocationPractice Address7459 Burlington Pike, Florence, KY 41042-1553Phone(859) 282-6585FaxUnlisted FaxMailing LocationMailing Address502 Farrell Dr, Covington, KY 41011-3717Phone(859) 578-3204Fax(859) 578-3273Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense163651KentuckyProvider IdentifiersIDDescriptionIssuerID610661458DescriptionOtherIssuerTAX IFKentucky