MEDIATION & COUNSELING CENTER OF WESTERN KENTUCKY, INC. (NPI# 1588085799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588085799 |
Entity Type | Organization |
Organization Name | MEDIATION & COUNSELING CENTER OF WESTERN KENTUCKY, INC. |
Practice Address |
2400 Friendship Dr Ste B 2400 Friendship Drive, Suite B Owensboro KY 42303-3011 |
Mailing Address |
2400 Friendship Dr Ste B Ronald Logsdon Community Center At Presidents Place Owensboro KY 42303-3011 |
Practice Telephone | 2708526516 |
Practice Fax Number | 2706839771 |
Mailing Telephone | 2708526516 |
Mailing Fax Number | 2706839771 |
Enumeration Date | 2013-12-16 |
Last Update Date | 2013-12-16 |
Authorized Official Name | MR. GREGORY LEE BAIZE SR. (PRESIDENT/CEO) |
Authorized Official Telephone | 2708526516 |
Authorized Official Credential | M.PSYCH., CCCT, |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | KY | Agencies |
Street Address |
2400 FRIENDSHIP DR STE B 2400 FRIENDSHIP DRIVE, SUITE B |
City | OWENSBORO |
State | KY |
Zip Code | 42303-3011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
Find all providers in zip 42303 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
1114578044 | Misty Mechelle Baker | Community/Behavioral Health | 6540 Todd Bridge Rd, Owensboro, KY 42301-9658 | 2019-09-23 |
1821408485 | Lighthouse Counseling Services Incorporated | Community/Behavioral Health | 5342 Willowbrook Loop, Owensboro, KY 42301-8396 | 2014-05-05 |
1326162421 | Lexie Hicks Counseling Center | Community/Behavioral Health | 120 E 20th St, Lexie Hicks Counseling Center, Owensboro, KY 42303 | 2007-03-16 |
1881128635 | Ap Case Management Link | Community/Behavioral Health | 1401 Spring Bank Dr, Building C Suite 13, Owensboro, KY 42303 | 2017-04-19 |
1518372523 | Joseph Melton | Community/Behavioral Health | 1100 Walnut St, Owensboro, KY 42301-2956 | 2014-06-27 |
1619382769 | Michael Dennis | Community/Behavioral Health | 1100 Walnut St, Owensboro, KY 42301-2956 | 2014-06-27 |
1881008597 | Sunrise Children's Services, Inc. | Community/Behavioral Health | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2014-06-20 |
1306289293 | Glow Therapeutic Services of Kentucky, LLC | Community/Behavioral Health | 210 W 3rd St, Owensboro, KY 42303-4121 | 2013-04-10 |
1316249725 | Behavioral Healthcare Services, Inc. | Community/Behavioral Health | 1100 Walnut St, Owensboro, KY 42301-2956 | 2010-11-18 |
Find all providers in OWENSBORO |
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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.