WHITEHOUSE BEHAVIORAL HEALTH (NPI# 1609412154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609412154 |
| Entity Type | Organization |
| Organization Name | WHITEHOUSE BEHAVIORAL HEALTH |
| Practice Address |
1210 4th St Lewisport KY 42351-2526 |
| Practice Telephone | 2703157208 |
| Practice Fax Number | 2702554767 |
| Mailing Telephone | 2703157208 |
| Mailing Fax Number | 2702554767 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-02-22 |
| Authorized Official Name | CRYSTAL DAWN WHITEHOUSE (APRN, OWNER) |
| Authorized Official Telephone | 2703157208 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANCC | 2016019876 | 01 |
| KY | NURSING LICENSE | 3010792 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265763 | Whitehouse Behavioral Health | Homemaker | 1900 Fulton Rd Nw, Canton, OH 44709-3526 | 2020-11-04 |
| Street Address |
1210 4TH ST |
| City | LEWISPORT |
| State | KY |
| Zip Code | 42351-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632709 | Jessica L Estes | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2006-01-06 |
| 1053912956 | Behj Group LLC | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2020-11-05 |
| 1639721202 | Behj Group LLC | Psychiatry & Neurology | 1210 4th St, Lewisport, KY 42351-2526 | 2019-07-12 |
| 1376094185 | Susan Evangline Piper | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2016-10-17 |
| 1801346259 | Crystal Whitehouse | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2016-10-10 |
| 1093178048 | George Marshall Counseling, Pllc | Social Worker | 1210 4th St, Lewisport, KY 42351-2526 | 2016-03-29 |
| 1083001432 | Mckena Campbell | Counselor | 1210 4th St, Lewisport, KY 42351-2526 | 2015-04-23 |
| 1194075150 | Estes Behavioral Health, LLC | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2012-09-17 |
| 1720027006 | George Marshall | Social Worker | 1210 4th St, Lewisport, KY 42351-2526 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547312 | Monica Montgomery I | Occupational Therapy Assistant | 8005 U.S. 60, Lewisport, KY 42351 | 2014-12-31 |
| 1467619247 | Green River District Health Department | Public Health or Welfare | 80 State Route 271 South, Lewisport, KY 42351 | 2008-05-20 |
| 1720204969 | Choctaw Brodie Badgett | Dentist | 8340 U.S. 60 West, Lewisport, KY 42351 | 2007-04-17 |
| 1326541988 | Susan Renee Hicks | Registered Nurse | 1520 4th St, Lewisport, KY 42351 | 2018-03-09 |
| 1154748986 | Ack Healthcare Management, LLC | Nurse Practitioner | 1520 4th St, Lewisport, KY 42351 | 2014-03-18 |
| 1932191335 | Cynthia Jo Emmick | Nurse Practitioner | 8070 U.S. Hwy. 60 West, Lewisport, KY 42351-0078 | 2005-08-22 |
| 1689194987 | Mckena Tichenor, LLC | Counselor | 1210 4th Street, Lewisport, KY 42351-2526 | 2017-06-27 |
| 1356605000 | Cassandra Kay Payne-durbin | Dietitian, Registered | 1520 4th St, Lewisport, KY 42351-2529 | 2012-06-27 |
| 1841598067 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1590 4th St, Lewisport, KY 42351-2529 | 2011-03-11 |
| 1992351290 | Brenton A Hallden | Nurse Practitioner | 1520 4th St, Lewisport, KY 42351-2529 | 2019-08-13 |
| Find all providers in zip 42351 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487632709 | Jessica L Estes | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2006-01-06 |
| 1376094185 | Susan Evangline Piper | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2016-10-17 |
| 1801346259 | Crystal Whitehouse | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2016-10-10 |
| 1194075150 | Estes Behavioral Health, LLC | Nurse Practitioner | 1210 4th St, Lewisport, KY 42351-2526 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1861099269 | Bowling Green Psychiatry | Nurse Practitioner | 1911 Scottsville Rd Ste B, Bowling Green, KY 42104-3303 | 2020-10-08 |
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1578170890 | Rebecca O'hair | Nurse Practitioner | 500 Thames Cir, Nicholasville, KY 40356-9219 | 2020-09-30 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1235749581 | Melissa K Young-flynn | Nurse Practitioner | 713 Millpond Rd, Lexington, KY 40514-1570 | 2020-08-02 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1649889932 | Hannah Rose Wilson Gibbs | Nurse Practitioner | 326 Roland Avenue, Owenton, KY 40359 | 2020-07-23 |
| 1962020875 | Sheryl List | Nurse Practitioner | 2103 Madison Dr, Hebron, KY 41048-7399 | 2020-07-07 |
| 1619594751 | Whitney Mariah Rizzo | Nurse Practitioner | 2774 Petros Browning Rd, Rockfield, KY 42274-9762 | 2020-07-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WHITEHOUSE BEHAVIORAL HEALTH.
| 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.