BHG XXX, LLC (NPI# 1619338696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619338696 |
| Entity Type | Organization |
| Organization Name | BHG XXX, LLC |
| Practice Address |
1125 N 5th St Kansas City KS 66101-2305 |
| Mailing Address |
5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 |
| Practice Telephone | 9133480888 |
| Practice Fax Number | 9133422644 |
| Mailing Telephone | 2143656100 |
| Mailing Fax Number | 2143656150 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | JEMECE MICHELLE GASAWAY (DIRECTOR OF LICENSING) |
| Authorized Official Telephone | 2143656126 |
| 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) |
0697003W | KS | Ambulatory Health Care Facilities |
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
0697003W | KS | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0697003W | KS | Ambulatory Health Care Facilities |
| Street Address |
1125 N 5TH ST |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66101-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669528097 | Kansas City Treatment Center | Clinic/Center | 1125 N 5th St, Kansas City, KS 66101-2305 | 2007-01-26 |
| 1467061192 | Allison Lee Hugill | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2020-07-29 |
| 1780165910 | Meredith Mclaughlin | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2018-08-25 |
| 1376075119 | Nancy Lewis | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2017-03-31 |
| 1013366749 | Marvin Bowens Sr. | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2016-06-03 |
| 1295183903 | Norman Hodge | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2016-06-03 |
| 1588012207 | Thomas Massic | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2016-06-03 |
| 1093951147 | Kansas Treatment Servics, LLC | Community/Behavioral Health | 1125 N 5th St, Kansas City, KS 66101-2305 | 2008-12-19 |
| 1053534420 | Mona Chebaro | Counselor | 1125 N 5th St, Kansas City, KS 66101-2305 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984336 | Nicole Konrade | Occupational Therapist | 818 Ann Ave, Kansas City, KS 66101 | 2020-05-27 |
| 1639675119 | Teah Rae Strickland | Private Vehicle | 2103 N 7th St, Kansas City, KS 66101 | 2018-04-03 |
| 1629320320 | Elizabeth Jane Johnson | Speech-Language Pathologist | 1119 N. 5th St., Kansas City, KS 66101 | 2012-10-05 |
| 1720118110 | Promohispano Inc. | Technician/Technologist | 825 N 7th St, Suite 101, Kansas City, KS 66101 | 2007-03-06 |
| 1811042534 | Sunflower Adult Daycare Inc | Clinic/Center | 1109 N 5th, Kansas City, KS 66101 | 2007-01-24 |
| 1730178195 | Joe M. Herrera | Dentist | 701 Washington Blvd., Kansas City, KS 66101 | 2005-10-18 |
| 1558723031 | Garnetta King | Counselor | 803 Armstrong Ave, Associated Youth Services, Kansas City, KS 66101 | 2016-03-24 |
| 1447666110 | Jill Denise Coleman | Registered Nurse | 619 Ann Ave, Kansas City, KS 66101 | 2014-07-02 |
| 1629313192 | Leslie Marie Layton | Chiropractor | 300 N 7th St, Kansas City, KS 66101 | 2012-12-10 |
| 1457735185 | Jamie Adams | Registered Nurse | 924 Manorcrest Dr, Kansas City, KS 66101-1139 | 2015-07-13 |
| Find all providers in zip 66101 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942501143 | Swope Health Services | Clinic/Center | 3950 E 51st St, Kansas City, MO 64130-3081 | 2010-11-04 |
| 1932412186 | Comprehensive Mental Health Services, Inc/renaisance West | Clinic/Center | 5840 Swope Pkwy, Kansas City, MO 64130-4262 | 2010-07-16 |
| 1043536626 | Kansas City Community Center | Clinic/Center | 622 Benton Blvd, Kansas City, MO 64124-2559 | 2010-04-08 |
| 1952532202 | The Human Enhancement Learning Program of Servants Inc. | Clinic/Center | 400 N 6th St, Kansas City, KS 66101-3135 | 2009-08-05 |
| 1225166432 | Tri-county Mental Health Services, Inc. | Clinic/Center | 1505 Ne Parvin Rd Ste D, Kansas City, MO 64116-2381 | 2007-03-01 |
| 1891872420 | Northland Family Counseling Center, Inc. | Clinic/Center | 429 N.e. 69 Highway, Kansas City, MO 64119-3118 | 2006-11-01 |
| 1013459908 | Swope Health Services | Clinic/Center | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2016-11-09 |
| 1720438302 | Truman Medical Center, Incorporated | Clinic/Center | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2016-06-15 |
| 1598110116 | Tri-county Mental Health Services, Inc. | Clinic/Center | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-05-02 |
| 1023462058 | Heartland Center for Behavioral Change | Clinic/Center | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2016-04-15 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66101 |
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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.