MARCUS CRANDALL ALLEN (NPI# 1538674833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538674833 |
| Entity Type | Individual |
| Full Name | MARCUS CRANDALL ALLEN |
| Credential | LCADC |
| Practice Address |
71 Conn St Ivel KY 41642 |
| Practice Telephone | 6064788500 |
| Practice Fax Number | 6064788505 |
| Mailing Telephone | 6064788500 |
| Mailing Fax Number | 6064788505 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| 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) |
175171 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909683 | Marcus William Allen | Counselor | 4076 Mizner Ct, Jacksonville, FL 32217-4300 | 2015-08-06 |
| 1164481297 | Marcus L Allen | Ophthalmology | 3414 Oak Grove Ave, Dallas, TX 75204-2375 | 2006-03-18 |
| 1487141016 | Marcus Dwayne Allen | Student in an Organized Health Care Education/Training Program | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2018-04-19 |
| 1962928119 | Marcus J. Allen | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2017-08-19 |
| 1295280022 | Marcus Allen | Dental Hygienist | 33060 Northwestern Hwy, Suite 200, West Bloomfield, MI 48322-3693 | 2016-08-22 |
| 1982014742 | Marcus Allen | Specialist | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2014-05-02 |
| 1437493863 | Marcus Nathaniel Allen | Counselor | 859 Willard St, Quincy, MA 02169 | 2012-11-26 |
| 1003006685 | Marcus Allen | Counselor | 7868 S Western Ave, Los Angeles, CA 90047-2756 | 2007-07-30 |
| 1891787909 | Marcus Allen | Radiology | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 | 2005-08-16 |
| Street Address |
71 CONN ST |
| City | IVEL |
| State | KY |
| Zip Code | 41642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073026787 | Sarah Renee Bartley | Case Manager/Care Coordinator | 71 Conn St, Ivel, KY 41642 | 2017-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144637232 | Alcohol & Drug Abuse Prevention & Treatment Specialties, LLC | Community/Behavioral Health | 4963 Us Hwy 23 N, Suite 121, Ivel, KY 41642 | 2014-07-21 |
| 1639503485 | Carlos Edward Slone | Counselor | 71 Conn Street, Ivel, KY 41642 | 2013-08-29 |
| 1447505268 | East Kentucky Drug Inc. | Pharmacy | 160 Conn St., Suite 2, Ivel, KY 41642 | 2012-07-18 |
| 1962971580 | Jessica Bartley | Case Manager/Care Coordinator | 71 Conn Street, Ivel, KY 41642 | 2018-11-14 |
| 1538651450 | Rebecca Lashae Ratliff | Case Manager/Care Coordinator | 71 Conn Street, Ivel, KY 41642 | 2018-06-06 |
| 1003286238 | Keith Mills | Counselor | 71 Conn Street, Ivel, KY 41642 | 2015-09-30 |
| 1851785430 | Vikki Bonyata | Counselor | 4963 Us Hwy 23 N, Suite 121, Ivel, KY 41642 | 2015-03-23 |
| 1316378375 | Robin Justice | Pharmacist | 160 Conn Street, Suite 2, Ivel, KY 41642 | 2013-12-02 |
| 1477833200 | Amanda Dawn Harmon | Pharmacist | 160 Conn Street, Suite 2, Ivel, KY 41642-1804 | 2011-08-24 |
| 1033681010 | Tonya Goble | Nurse Practitioner | 63 Toms Crk, Ivel, KY 41642-9040 | 2019-01-01 |
| Find all providers in zip 41642 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639503485 | Carlos Edward Slone | Counselor | 71 Conn Street, Ivel, KY 41642 | 2013-08-29 |
| 1003286238 | Keith Mills | Counselor | 71 Conn Street, Ivel, KY 41642 | 2015-09-30 |
| 1851785430 | Vikki Bonyata | Counselor | 4963 Us Hwy 23 N, Suite 121, Ivel, KY 41642 | 2015-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
| 1538774914 | Lynn Marie Richendollar | Counselor | 148 S. Nelson Park Rd, Paducah, KY 42001-4200 | 2020-09-11 |
| 1972114585 | Lynn Nicole Thompson | Counselor | 1621 Foxhaven Dr, Richmond, KY 40475-1056 | 2020-08-17 |
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1730702788 | Ruth Gonia | Counselor | 2810 Rosewood Rd, La Grange, KY 40031-9323 | 2020-05-26 |
| 1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
| Find all providers with the same taxonomy | ||||
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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.