ALICIA COPESTICK HENDERSON (NPI# 1508043399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508043399 |
| Entity Type | Individual |
| Full Name | ALICIA COPESTICK HENDERSON |
| Credential | BPS |
| Practice Address |
664 Slate Ave Owingsville KY 40360 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 6066746690 |
| Practice Fax Number | 6066746903 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30610026 | 05 |
| Street Address |
664 SLATE AVE |
| City | OWINGSVILLE |
| State | KY |
| Zip Code | 40360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871683250 | Donna Randall | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2006-10-13 |
| 1841830866 | Amy Piccaluga | Counselor | 664 Slate Ave, Owingsville, KY 40360-0327 | 2020-01-07 |
| 1346895349 | Casey Razor | Social Worker | 664 Slate Ave, Owingsville, KY 40360 | 2019-08-06 |
| 1073166385 | Blake Schaeffer | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2019-07-17 |
| 1790243707 | Haley Lane | Counselor | 664 Slate Ave, Owingsville, KY 40360-0327 | 2019-03-08 |
| 1124591144 | Hollie M Rasche | Counselor | 664 Slate Ave, Owingsville, KY 40371 | 2019-01-03 |
| 1649767468 | Marsha Goldy | Community Health Worker | 664 Slate Ave, Owingsville, KY 40360 | 2018-04-17 |
| 1700395514 | Charles Pruitt | Psychologist | 664 Slate Ave, Owingsville, KY 40360-0327 | 2017-09-25 |
| 1568986495 | Chawn Morgan | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2017-08-02 |
| 1689114167 | Amy Snowden | Nurse Practitioner | 664 Slate Ave, Owingsville, KY 40360 | 2017-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
| 1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
| 1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
| 1528358298 | Handsbath | Public Health or Welfare | 68 Oberline St., Owingsville, KY 40360 | 2011-04-14 |
| 1093950800 | Kathy Moore Carter | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360 | 2008-12-08 |
| 1114131844 | First Steps | Public Health or Welfare | 39 Cedar Creek, Owingsville, KY 40360 | 2007-05-10 |
| 1750413035 | Bath County High School | Public Health or Welfare | 645 Chenault Dr, Owingsville, KY 40360 | 2007-03-12 |
| 1740312065 | Owingsville Elementary | Public Health or Welfare | 50 Chanault Drive, Owingsville, KY 40360 | 2007-03-12 |
| 1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
| 1710027701 | Gateway Regional Health Systems Inc | Internal Medicine | 44 Water St, Owingsville, KY 40360 | 2007-02-07 |
| Find all providers in zip 40360 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700395514 | Charles Pruitt | Psychologist | 664 Slate Ave, Owingsville, KY 40360-0327 | 2017-09-25 |
| 1568703882 | Harold Jones | Psychologist | 664 Slate Avenue, Owingsville, KY 40360 | 2013-03-12 |
| 1316250848 | Julia Dahmane | Psychologist | 664 Slate Ave, Owingsville, KY 40360 | 2010-07-26 |
| 1346471018 | Joseph Dickhaus | Psychologist | 664 Slate Ave, Owingsville, KY 40360 | 2009-07-29 |
| 1245417039 | James Smith | Psychologist | 664 Slate Ave, Owingsville, KY 40360 | 2008-01-24 |
| 1548335250 | Natasha Harvey-allen | Psychologist | 664 Slate Ave, Owingsville, KY 40360 | 2006-11-21 |
| 1679660948 | Melinda Walker | Psychologist | 664 Slate Avenue, Owingsville, KY 40360 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228415 | Mollie Marie Lefever | Psychologist | 204 Levisa Dr, Louisa, KY 41230-9352 | 2020-09-02 |
| 1831714138 | Theresa Marie Nowak | Psychologist | 233 Larch Ln, Lexington, KY 40511-2006 | 2020-06-11 |
| 1104446921 | Marina Sud | Psychologist | 1834 Gresham Rd, Louisville, KY 40205-2424 | 2020-04-22 |
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1801430525 | Higher Horizons Pllc | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-06 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1194374207 | John Lee Cecil | Psychologist | 203 Right Penhook Rd, Harold, KY 41635-7008 | 2019-09-11 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1184289878 | Courtney L. Cieslak-mullins | Psychologist | 9879 Route 122, Mcdowell, KY 41647 | 2019-05-08 |
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | OWINGSVILLE |
| Zip Code | 40360 |
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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.