INFINITE COMMUNITY ACHIEVEMENT, LLC (NPI# 1588141956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588141956 |
| Entity Type | Organization |
| Organization Name | INFINITE COMMUNITY ACHIEVEMENT, LLC |
| Practice Address |
715 Shaker Dr Ste 104 Lexington KY 40504-3674 |
| Practice Telephone | 7045243403 |
| Mailing Telephone | 8593139738 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MR. DAVARRES ALEXANDER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8593139738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1144558701 | KY | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1144558701 | KY | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1144558701 | KY | Ambulatory Health Care Facilities |
| Y | 251S00000X | Community/Behavioral Health | 1144558701 | KY | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Brigadoon Pkwy, Lexington, KY 405171305 | 9807770586 |
| Street Address |
715 SHAKER DR STE 104 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180166 | Anthony James | Case Manager/Care Coordinator | 715 Shaker Dr Ste 104, Lexington, KY 40504-3674 | 2019-11-29 |
| 1649827171 | Davarres Alexander | Case Manager/Care Coordinator | 715 Shaker Dr Ste 104, Lexington, KY 40504-3674 | 2019-08-20 |
| 1205483732 | Razhede Quizhonni Highsmith | Case Manager/Care Coordinator | 715 Shaker Dr Ste 104, Lexington, KY 40504-3674 | 2019-08-20 |
| 1164987079 | Holly Davis | Social Worker | 715 Shaker Dr Ste 104, Lexington, KY 40504-3674 | 2019-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1841842010 | Jessica Brooke Castleberry | Counselor | Chrysalis House, Inc., 1589 Hill Rise Drive, Lexington, KY 40504 | 2019-07-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1417596123 | Lexintegrative Psychotherapy, LLC | Community/Behavioral Health | 807 Massachusetts Ave, Lexington, MA 02420-3907 | 2019-12-27 |
| 1558906321 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 15 S Main St Ste 217, Lexington, VA 24450-2541 | 2019-11-15 |
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1982246401 | Alexander Youth Network | Community/Behavioral Health | 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 | 2019-10-16 |
| 1194204503 | Tn Anger Management / Counsel Care, LLC | Community/Behavioral Health | 1490b N Broad St, Lexington, TN 38351-4700 | 2018-08-08 |
| 1275010753 | Anant Integrated Health Services, LLC | Community/Behavioral Health | 104 Brigadoon Pkwy, Lexington, KY 40517-1305 | 2018-07-26 |
| 1669975165 | Addiction Treatment Centers LLC | Community/Behavioral Health | 1736 Alexandria Dr Ste 225, Lexington, KY 40504-3159 | 2018-03-12 |
| 1447764352 | A Brighter Future Abi | Community/Behavioral Health | 2121 Richmond Rd Ste 206, Lexington, KY 40502-1213 | 2017-11-30 |
| 1083144125 | Radical Transformations Counseling Services LLC | Community/Behavioral Health | 630 Old Orangeburg Rd Apt A, Lexington, SC 29073-6927 | 2017-06-12 |
| Find all providers in LEXINGTON | ||||
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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.