JADE MARLI KONG (NPI# 1265050116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265050116 |
| Entity Type | Individual |
| Full Name | JADE MARLI KONG |
| Practice Address |
455 Park Pl Ste 130 Lexington KY 40511-1881 |
| Practice Telephone | 8592760533 |
| Mailing Telephone | 8592760533 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
KY | Behavioral Health & Social Service Providers |
| Street Address |
455 PARK PL STE 130 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861928988 | Raven Roe | Counselor | 455 Park Pl Ste 130, Lexington, KY 40511-1830 | 2017-05-10 |
| 1588276000 | Tara Lee Sexton | Counselor | 455 Park Pl Ste 130, Lexington, KY 40511-1881 | 2020-08-17 |
| 1477162105 | Amanda Dufour | Counselor | 455 Park Pl Ste 130, Lexington, KY 40511-1881 | 2020-07-29 |
| 1992323851 | Rebecca Ann Byrd | Counselor | 455 Park Pl Ste 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1942858121 | Ashley Newman | Nurse Practitioner | 455 Park Pl Ste 130, Lexington, KY 40511-1881 | 2019-08-30 |
| 1235657545 | Taylor E Clark | Nurse Practitioner | 455 Park Pl Ste 130, Lexington, KY 40511-1830 | 2017-09-07 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1396373304 | Serenity Keepers | Counselor | 2033 Daniel Ct Apt 1, Lexington, KY 40504-1837 | 2020-03-27 |
| 1205482619 | Laura K. Wampler | Counselor | 423 Woodsway Dr, Lexington, NC 27292-4655 | 2019-08-12 |
| 1033677505 | Alyssa May Tremblay | Counselor | 389 Waller Ave Fl 2, Lexington, KY 40504-2900 | 2019-03-04 |
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1447745922 | Christopher Todd Cox | Counselor | 149 Deweese St, Lexington, KY 40507-1925 | 2018-06-26 |
| 1023503919 | Kimberly Kelly | Counselor | 1382 Bull Lea Rd, Lexington, KY 40511-1247 | 2018-06-25 |
| 1528566114 | Alteri, LLC | Counselor | 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 | 2018-01-29 |
| 1700390218 | Courtney Nicole Shields | Counselor | 201 Mechanic St Fl 1, Lexington, KY 40507-1086 | 2017-11-20 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 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.