AMANDA BREEDLOVE (NPI# 1316487119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316487119 |
| Entity Type | Individual |
| Full Name | AMANDA BREEDLOVE |
| Credential | LMFT |
| Practice Address |
122 Arceme Ave Lexington KY 40505-3502 |
| Mailing Address |
496 Southland Dr Lexington KY 40503-1827 |
| Practice Telephone | 8592882425 |
| Practice Fax Number | 8597213918 |
| Mailing Telephone | 8592882392 |
| Mailing Fax Number | 8597213918 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 259918 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100625550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272209 | Amanda Ingersoll Breedlove | Physical Therapist | 8469 Sheridan Dr, Williamsville, NY 14221-4133 | 2018-07-27 |
| 1235486952 | Amanda Nicole Breedlove | Nurse Practitioner | 1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 | 2012-08-13 |
| Street Address |
122 ARCEME AVE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40505-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063650281 | Beth Enders Sturgill | Nurse Practitioner | 122 Arceme Ave, Lexington, KY 40505-3502 | 2009-01-26 |
| 1104261718 | Healthfirst Bluegrass, Inc | Clinic/Center | 122 Arceme Ave, Lexington, KY 40505-3502 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629548219 | Leah Morgan Adekoya | Occupational Therapist | 1300 East New Circle Road Suite 150, Lexington, KY 40505 | 2018-11-27 |
| 1972029825 | Sarah Thompson | Community Health Worker | 2250 Thunderstick Drive, 1104, Lexington, KY 40505 | 2017-08-22 |
| 1740717552 | Amber Nichols | Counselor | 2250 Thunderstruck Drive, Lexington, KY 40505 | 2017-05-11 |
| 1588195770 | Attender Care LLC | In Home Supportive Care | 1022 Highland Park Drive, Lexington, KY 40505 | 2017-03-21 |
| 1194261750 | Elite Performance & Individualized Care Chiropractic, Pllc | Chiropractor | 1300 E New Circle Rd Ste 160, Lexington, KY 40505 | 2017-01-06 |
| 1063880870 | Heather Nicole Cox | Nurse Practitioner | 2285 Executive Dr Ste 100, Lexington, KY 40505 | 2015-09-10 |
| 1962818617 | Paul Wong | Pharmacist | 800 Rose St, Room H110, University of Kentucky, Lexington, KY 40505 | 2014-07-02 |
| 1720404593 | Kahndra Chauntay Franklin | Specialist | 952 Winchester Rd, Suite 120, Lexington, KY 40505 | 2014-03-17 |
| 1568734572 | Richard Joseph Simpson | Chiropractor | 1300 E New Circle Rd, Ste 160, Lexington, KY 40505 | 2012-02-07 |
| 1598040719 | Sena Jill Comfort | Pharmacist | 260 New Circle Rd, Lexington, KY 40505 | 2011-10-19 |
| Find all providers in zip 40505 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740735786 | Kasey Puckett | Marriage & Family Therapist | 2525 Danielle Ln, Lexington, KY 40509 | 2016-08-19 |
| 1477937795 | Rachel Gilbert | Marriage & Family Therapist | 501 Darby Creek Rd Ste 50, Lexington, KY 40509-2610 | 2015-07-16 |
| 1639560014 | Hope Springs Counseling Center | Marriage & Family Therapist | 1081 Dove Run Rd Ste 202, Lexington, KY 40502-3500 | 2015-02-06 |
| 1609265263 | Tracey Werner-wilson | Marriage & Family Therapist | 206 Scovell Hl, Lexington, KY 40506-0001 | 2015-01-20 |
| 1427469253 | Job Juarez | Marriage & Family Therapist | 4390 Clearwater Way Apt 409, Apt 409, Lexington, KY 40515-6369 | 2014-05-14 |
| 1922425636 | Jillian Hawks | Marriage & Family Therapist | 750 Shaker Dr, #322, Lexington, KY 40504-3745 | 2014-03-20 |
| 1003241035 | Thomas-peeples & Associates, Psc | Marriage & Family Therapist | 106 Dennis Dr, Lexington, KY 40503-2917 | 2013-09-10 |
| 1639375538 | Cynthia Brody | Marriage & Family Therapist | 582 Massachusetts Ave, Lexington, MA 02420-4022 | 2007-06-26 |
| 1427266626 | Helen C Crews | Marriage & Family Therapist | 1944 Fontaine Rd, Lexington, KY 40502-1942 | 2007-05-19 |
| 1811046378 | Paul David Greene | Marriage & Family Therapist | 521 Lanarkshire Pl, Lexington, KY 40509-2294 | 2007-01-10 |
| Find all providers in LEXINGTON | ||||
Please comment or provide details below to improve the information on AMANDA BREEDLOVE.
| 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.