MATTHEW CHILDERS (NPI# 1649627472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649627472 |
| Entity Type | Individual |
| Full Name | MATTHEW CHILDERS |
| Practice Address |
115 Rockwood Ln Hazard KY 41701-9415 |
| Practice Telephone | 6064365761 |
| Practice Fax Number | 6064365797 |
| Mailing Telephone | 6064365761 |
| Mailing Fax Number | 6064365797 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
115 ROCKWOOD LN |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588657191 | Sarah Alston Cox | Marriage & Family Therapist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2005-08-30 |
| 1922606680 | Dawn Elkins | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2020-10-14 |
| 1639715899 | Brenda Shepherd | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2019-11-22 |
| 1720550346 | Lisa Weist | Case Manager/Care Coordinator | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2018-12-20 |
| 1316450349 | Angela Little | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-11-13 |
| 1407369598 | Heather Ritchie | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-11-10 |
| 1114436482 | Delisa Cornett | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-09-29 |
| 1255857769 | Christopher Kidder | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| 1588180004 | Alexander Kuhl | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| 1104342617 | Susanne Palmer | Psychologist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942655709 | Christopher Gamble | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2016-04-29 |
| 1689043606 | Kayla Robinson | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-09-21 |
| 1578955647 | Robin Barrett | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-26 |
| 1487046454 | Jessica Estes | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-26 |
| 1992196141 | Karen Combs | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-10 |
| 1215328612 | Sandra Dyer | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-07 |
| 1114318615 | Joshua Thompson | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-05 |
| 1841681343 | John Holder Jr. | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-05 |
| 1013308519 | Leota Trusty | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-05 |
| 1720382385 | Brandy Bellew | Peer Specialist | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2010-12-22 |
| Find all providers in HAZARD | ||||
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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.