GOOD SHEPHERD INSTITUTE OF THE BLUEGRASS (NPI# 1568004976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568004976 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD INSTITUTE OF THE BLUEGRASS |
| Practice Address |
307 W Dixie Ave Elizabethtown KY 42701-1701 |
| Mailing Address |
622 Woodlake Dr Louisville KY 40245-5121 |
| Practice Telephone | 5026323249 |
| Mailing Telephone | 5023031996 |
| Mailing Fax Number | 5025622500 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | GARRY BURRY (PRESIDENT) |
| Authorized Official Telephone | 5022446820 |
| Authorized Official Credential | CLTC |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY RENEWAL PROJECT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2141 Lancashire Ave, Louisville, KY 402052957 | 5026323249 |
| Street Address |
307 W DIXIE AVE |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088872 | Adirondack Family Mental Health Counseling Pllc | Clinic/Center | 8273 River Street, Elizabethtown, NY 12932-1293 | 2020-03-17 |
| 1497208524 | Genesis Counseling LLC | Clinic/Center | 1111 N Dixie Ave Ste 2, Elizabethtown, KY 42701-2764 | 2016-07-25 |
| 1700033479 | Family Counseling Center, Inc. | Clinic/Center | 147 North Main Street, Elizabethtown, IL 62931 | 2008-08-25 |
| 1881623973 | Southern Professional Counseling Services, LLC | Clinic/Center | 306 West Broad St., Elizabethtown, NC 28337-1894 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1831746767 | Journey Through Counseling LLC | Clinic/Center | 2614 Utah Dr, Bowling Green, KY 42104-4263 | 2019-08-26 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1659841344 | Asymmetry Health | Clinic/Center | 501 Darby Creek Rd Ste 1, Lexington, KY 40509-1605 | 2018-11-26 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on GOOD SHEPHERD INSTITUTE OF THE BLUEGRASS.
| 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.