MR. JACOB ANDREW TERRY (NPI# 1023649225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023649225 |
| Entity Type | Individual |
| Full Name | MR. JACOB ANDREW TERRY |
| Practice Address |
1351 Newtown Pike Lexington KY 40511-1275 |
| Practice Telephone | 8592531686 |
| Mailing Telephone | 8592531686 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077457 | Jacob Terry | Behavior Technician | 6600 W Charleston Blvd Ste 111, Las Vegas, NV 89146-1067 | 2019-11-12 |
| Street Address |
1351 NEWTOWN PIKE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366482317 | New Vista of The Bluegrass | Clinic/Center | 1351 Newtown Pike, Bldg 5, Lexington, KY 40511-1275 | 2006-06-07 |
| 1982217493 | Graciela Ines Robinson | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-08-25 |
| 1447877071 | Isabel Irene Jones | Registered Nurse | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1093332629 | Gabriel Allen Upchurch | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1699398214 | Christin Hungate | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-05-19 |
| 1093342701 | Monet Proctor | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-03-24 |
| 1174158133 | Megan Marie Kathman | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-03-10 |
| 1861026213 | Victoria Engelhardt | Counselor | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-02-25 |
| 1215561667 | Mikayla Reese | Social Worker | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-02-25 |
| 1811529563 | Laura Lee Varner | Community Health Worker | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831612027 | Natasha Lacey | Peer Specialist | 1099 S Broadway Ste 220, Lexington, KY 40504-2663 | 2017-07-19 |
| 1972119204 | Kristina Marie Keller | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-22 |
| 1952917288 | Krisitn Renee Wilson | Peer Specialist | 1351 Newtown Pike Bldg 3, Lexington, KY 40511-1278 | 2020-09-22 |
| 1114532025 | Stephanie Niccole Haydon | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-09-09 |
| 1558970368 | Crystal P Brown | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1639788441 | Samantha Lee Riddell | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-07-28 |
| 1093332629 | Gabriel Allen Upchurch | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-06-30 |
| 1548885742 | Sarah Elizabeth Neal | Peer Specialist | 120 Chrysalis Ct, Lexington, KY 40508-2618 | 2020-06-12 |
| 1215551684 | James Phillip Luallen | Peer Specialist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2020-06-02 |
| 1699398214 | Christin Hungate | Peer Specialist | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2020-05-19 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.