ADDICTION & RESTORATION THERAPIES IOP, INC (NPI# 1316364847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316364847 |
Entity Type | Organization |
Organization Name | ADDICTION & RESTORATION THERAPIES IOP, INC |
Practice Address |
2704 Old Rosebud Rd Lexington KY 40509-8627 |
Mailing Address |
3444 Oakbrook Dr Lexington KY 40515-1396 |
Practice Telephone | 8594928509 |
Practice Fax Number | 8593179034 |
Mailing Telephone | 8594928509 |
Enumeration Date | 2014-03-21 |
Last Update Date | 2014-03-21 |
Authorized Official Name | STEVANIE SMITH (PROGRAM DIRECTOR/THERAPIST) |
Authorized Official Telephone | 8594928509 |
Authorized Official Credential | M.ED., LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | KY | Behavioral Health & Social Service Providers | |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
KY | Behavioral Health & Social Service Providers | |
N | 101YM0800X |
Counselor Specialization: Mental Health |
KY | Behavioral Health & Social Service Providers | |
N | 101YP1600X |
Counselor Specialization: Pastoral |
KY | Behavioral Health & Social Service Providers | |
N | 101YP2500X |
Counselor Specialization: Professional |
KY | Behavioral Health & Social Service Providers | |
N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
KY | Behavioral Health & Social Service Providers | |
N | 1041C0700X |
Social Worker Specialization: Clinical |
KY | Behavioral Health & Social Service Providers | |
N | 251B00000X | Case Management | KY | Agencies | |
N | 253Z00000X | In Home Supportive Care | KY | Agencies | |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
KY | Physician Assistants & Advanced Practice Nursing Providers | |
Y | 251S00000X | Community/Behavioral Health | KY | Agencies |
Street Address |
2704 OLD ROSEBUD RD |
City | LEXINGTON |
State | KY |
Zip Code | 40509-8627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
Find all providers in zip 40509 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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1417596123 | Lexintegrative Psychotherapy, LLC | Community/Behavioral Health | 807 Massachusetts Ave, Lexington, MA 02420-3907 | 2019-12-27 |
1558906321 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 15 S Main St Ste 217, Lexington, VA 24450-2541 | 2019-11-15 |
1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
1982246401 | Alexander Youth Network | Community/Behavioral Health | 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 | 2019-10-16 |
1194204503 | Tn Anger Management / Counsel Care, LLC | Community/Behavioral Health | 1490b N Broad St, Lexington, TN 38351-4700 | 2018-08-08 |
1275010753 | Anant Integrated Health Services, LLC | Community/Behavioral Health | 104 Brigadoon Pkwy, Lexington, KY 40517-1305 | 2018-07-26 |
1669975165 | Addiction Treatment Centers LLC | Community/Behavioral Health | 1736 Alexandria Dr Ste 225, Lexington, KY 40504-3159 | 2018-03-12 |
1447764352 | A Brighter Future Abi | Community/Behavioral Health | 2121 Richmond Rd Ste 206, Lexington, KY 40502-1213 | 2017-11-30 |
1083144125 | Radical Transformations Counseling Services LLC | Community/Behavioral Health | 630 Old Orangeburg Rd Apt A, Lexington, SC 29073-6927 | 2017-06-12 |
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.