SAMANTHA UPSHAW MAXEY (NPI# 1083997886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083997886 |
| Entity Type | Individual |
| Full Name | SAMANTHA UPSHAW MAXEY |
| Practice Address |
332 Highland Park Dr Richmond KY 40475-3487 |
| Practice Telephone | 8592004961 |
| Mailing Telephone | 8592004961 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
104439 | KY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1320 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12789901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Beasley St, Lexington, KY 405094266 | 6063564517 | 6064350817 |
| 415 Stonecrest Rd, Winchester, KY 403918320 | 5135943360 |
| Street Address |
332 HIGHLAND PARK DR |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022178 | Jennifer Megan Wilson | Counselor | 332 Highland Park Dr, Richmond, KY 40475-3487 | 2020-04-17 |
| 1780182030 | Stephanie M Milhardt | Social Worker | 332 Highland Park Dr, Richmond, KY 40475-3487 | 2018-01-31 |
| 1194241745 | Raychelle Myrick | Social Worker | 332 Highland Park Dr, Richmond, KY 40475-3487 | 2017-08-16 |
| 1538682265 | Phyllis Leanne Scroggy | Case Manager/Care Coordinator | 332 Highland Park Dr, Richmond, KY 40475-3487 | 2017-07-25 |
| 1124541222 | Katherine Anne Ruark | Case Manager/Care Coordinator | 332 Highland Park Dr, Richmond, KY 40475-3487 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152882 | Greta Hicks Brooks | Counselor | 207 Willoughby Dr, Richmond, TX 77469-6076 | 2020-10-19 |
| 1780282558 | Ashley Groeper | Counselor | 1657 W Broad St Unit 3a, Richmond, VA 23220-2153 | 2020-10-14 |
| 1164029187 | Ami Ballay Williams | Counselor | 827 E Parham Rd Ste 4, Richmond, VA 23227-1126 | 2020-10-02 |
| 1104433622 | Jerard Lamarl Elliott | Counselor | 119 S 1st St Apt 103, Richmond, VA 23219-3760 | 2020-09-29 |
| 1922614288 | Tiffany Toombs Royall | Counselor | 2111 Davenport Ave, Richmond, VA 23228-4617 | 2020-09-21 |
| 1407467053 | Claire B Lewis | Counselor | 5815 Fitzhugh Ave, Richmond, VA 23226-1803 | 2020-08-16 |
| 1659989051 | Stephanie Jeanette Rodenberg-lewis | Counselor | 930 Holly Hall Dr, Richmond, TX 77406-2376 | 2020-07-21 |
| 1932726247 | Darrick Cory White | Counselor | 1111 Escambia Way Dr, Richmond, TX 77406-2794 | 2020-07-02 |
| 1588280424 | Domonique Ashleigh-nicole Wilson | Counselor | 11221 Arbor Creek Dr Apt 436, Richmond, VA 23233-0206 | 2020-06-16 |
| 1104445154 | Teresh Hodiah Wilson | Counselor | 3115 North Ave, Richmond, VA 23222-2646 | 2020-04-09 |
| Find all providers in RICHMOND | ||||
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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.