MISTI POWELL EDELEN (NPI# 1467918219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467918219 |
| Entity Type | Individual |
| Full Name | MISTI POWELL EDELEN |
| Credential | MED |
| Practice Address |
1028 Main St Shelbyville KY 40065-1315 |
| Mailing Address |
104 Oxford Pl Louisville KY 40207-2922 |
| Practice Telephone | 5026472477 |
| Mailing Telephone | 5028199001 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
1028 MAIN ST |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729676 | Sarah Elizabeth Bowman Grattan | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2020-10-26 |
| 1164901419 | Troy Cilone | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2018-08-08 |
| 1215462049 | Julie Ann Elmore | Marriage & Family Therapist | 1028 Main St, Shelbyville, KY 40065-1315 | 2017-04-30 |
| 1477006963 | Abigail Bishop | Counselor | 1028 Main St, Shelbyville, KY 40065-1315 | 2016-08-01 |
| 1871919977 | Whitten Psychological Services, Pllc. | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2014-03-13 |
| 1427480961 | Jean R Barlow | Counselor | 1028 Main St, Shelbyville, KY 40065-1315 | 2013-08-07 |
| 1962715458 | Michael Edward Whitten | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538642871 | Montina Herbert | Psychologist | 157 W Washington St, Shelbyville, IN 46176-1245 | 2018-09-12 |
| 1710391719 | Glenn Johnson | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2014-06-17 |
| 1275643637 | Pamela Burns Andrews | Psychologist | 543 Main St, Shelbyville, KY 40065-1119 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775566 | Vora Onique Blake | Psychologist | 305 Lindenhurst Dr Apt 8201, Lexington, KY 40509-1369 | 2020-06-24 |
| 1063032589 | Jarvis M Brookins | Psychologist | U.S. 68 Ste 900, Maysville, KY 41056-4105 | 2020-04-24 |
| 1639707839 | A Center for Change | Psychologist | 5900 Route Us 60 W, Suite A, Ashland, KY 41102-9508 | 2020-04-01 |
| 1760049472 | Donald August Kleine-kracht | Psychologist | 106 Frazee Hall, Lexington, KY 40506-0001 | 2019-05-29 |
| 1730645490 | New Hope Counseling Services L.l.c | Psychologist | 330 Roy Drive, Russell Springs, KY 42642 | 2019-02-18 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1194205955 | Rae Lyn Glover | Psychologist | 651 Longview Dr, Lexington, KY 40503-1709 | 2018-08-20 |
| 1841778198 | Healing Hearts | Psychologist | 2205 Carter Ave, Ashland, KY 41101-7823 | 2018-07-30 |
| 1669982328 | Clarity Counseling Services, Psc | Psychologist | 620 Euclid Ave Ste 203, Lexington, KY 40502-6429 | 2017-10-09 |
| 1124542881 | Jennifer Bogard | Psychologist | 5506 Lake Ct, Crestwood, KY 40014-9542 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on MISTI POWELL EDELEN.
| 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.