GREGORY MAYNARD (NPI# 1366853178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366853178 |
| Entity Type | Individual |
| Full Name | GREGORY MAYNARD |
| Credential | LCADC |
| Practice Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6068868572 |
| Practice Fax Number | 6068864433 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
251975 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450187 | Gregory V. Maynard | Family Medicine | 404 E Rolla Rd, Salem, MO 65560-1563 | 2006-06-02 |
| 1265460331 | Gregory A Maynard | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2006-06-29 |
| Street Address |
104 S FRONT AVE |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020332 | Manmohan Pothuloori | Psychiatry & Neurology | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2005-08-16 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1932708427 | Yvonne House | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1649879529 | Kari Steele | Registered Nurse | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1730788712 | Megan Stansberry | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1235738238 | Ashley Blackburn | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1851990824 | Kelsey Sizemore | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1538768536 | Anthony Barrett | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1568061976 | Shawna Edwards | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184079311 | Michael Vance | Counselor | 1033 S Highland Ave, Prestonsburg, KY 41653-7889 | 2016-04-25 |
| 1184093395 | Kimberly Calhoun | Counselor | 87 Oak Ridge Ct, Prestonsburg, KY 41653-8595 | 2015-09-17 |
| 1720468937 | Vanark Behavioral Management, Inc. | Counselor | 207 W Court St, Prestonsburg, KY 41653-7732 | 2015-06-02 |
| 1326443102 | Ohio Valley Physicians | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2014-10-23 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1750781142 | Appalachian Health Services Inc | Counselor | 126 Collins Cir Ste 3, Prestonsburg, KY 41653-7913 | 2014-09-04 |
| 1871671230 | George Scott Walker | Counselor | 1416 S Lake Dr, Prestonsburg, KY 41653-1353 | 2006-11-02 |
| 1295347219 | Mikeal Fannin | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-08-20 |
| 1962010389 | Bridgette Ramey | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| 1699383943 | Kristin Tiedeman | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on GREGORY MAYNARD.
| 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.