KATINA BOUGHNER (NPI# 1306041595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306041595 |
| Entity Type | Individual |
| Full Name | KATINA BOUGHNER |
| Practice Address |
230 Yager Ave Ste. 5 La Grange KY 40031-1060 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5025891100 |
| Practice Fax Number | 5025898771 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
230 YAGER AVE STE. 5 |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-1060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871753194 | Sedrick Williams | Counselor | 230 Yager Ave, La Grange, KY 40031-1060 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861868218 | Denise Sandoval | Counselor | 21 S La Grange Rd Ste 200, La Grange, IL 60525-2479 | 2015-08-19 |
| 1982089587 | Fadia Damra | Counselor | 23 Calendar Ct Ste 201, La Grange, IL 60525-6327 | 2015-07-23 |
| 1881817443 | Kelly R. Broderick | Counselor | 515 S Ashland Ave, La Grange, IL 60525-2812 | 2007-04-11 |
| 1750852737 | Christa Capalby | Counselor | 47 6th Ave Ste L, La Grange, IL 60525-5636 | 2018-12-17 |
| 1871007658 | Vrena Anton | Counselor | 23 Calendar Ct Ste 201, La Grange, IL 60525-6327 | 2017-11-30 |
| 1750733754 | Natalia Resendiz | Counselor | 23 Calendar Ct, Suite 207, La Grange, IL 60525-2365 | 2016-07-01 |
| 1609225861 | Mariana Luna | Counselor | 23 Calendar Ct Ste 201, La Grange, IL 60525-6327 | 2016-06-08 |
| 1033583158 | Felicia Meyers | Counselor | 2111 Spencer Ct, La Grange, KY 40031-6742 | 2015-12-01 |
| 1003109158 | Chelsea Northrip | Counselor | 2141 Spencer Ct, La Grange, KY 40031-6742 | 2011-05-24 |
| 1740595537 | Shannon Liebegott | Counselor | 2141 Spencer Ct, La Grange, KY 40031-6742 | 2010-08-17 |
| Find all providers in LA GRANGE | ||||
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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.