KYLE TACKETT (NPI# 1659827913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659827913 |
| Entity Type | Individual |
| Full Name | KYLE TACKETT |
| Practice Address |
664 Slate Ave Owingsville KY 40360 |
| Mailing Address |
Po Box 790 Ashland KY 41105-0790 |
| Practice Telephone | 6063298588 |
| Mailing Telephone | 6063298588 |
| Mailing Fax Number | 6063298195 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
664 SLATE AVE |
| City | OWINGSVILLE |
| State | KY |
| Zip Code | 40360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871683250 | Donna Randall | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2006-10-13 |
| 1841830866 | Amy Piccaluga | Counselor | 664 Slate Ave, Owingsville, KY 40360-0327 | 2020-01-07 |
| 1346895349 | Casey Razor | Social Worker | 664 Slate Ave, Owingsville, KY 40360 | 2019-08-06 |
| 1073166385 | Blake Schaeffer | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2019-07-17 |
| 1790243707 | Haley Lane | Counselor | 664 Slate Ave, Owingsville, KY 40360-0327 | 2019-03-08 |
| 1124591144 | Hollie M Rasche | Counselor | 664 Slate Ave, Owingsville, KY 40371 | 2019-01-03 |
| 1649767468 | Marsha Goldy | Community Health Worker | 664 Slate Ave, Owingsville, KY 40360 | 2018-04-17 |
| 1700395514 | Charles Pruitt | Psychologist | 664 Slate Ave, Owingsville, KY 40360-0327 | 2017-09-25 |
| 1568986495 | Chawn Morgan | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2017-08-02 |
| 1689114167 | Amy Snowden | Nurse Practitioner | 664 Slate Ave, Owingsville, KY 40360 | 2017-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
| 1811246143 | Jessica Sue Lykins | Nurse Practitioner | 42 Treadway Dr, Gudgell Ave, Owingsville, KY 40360 | 2012-08-31 |
| 1265709497 | Jason D Mckenzie | Nurse Practitioner | 42 Treadway Drive, Owingsville, KY 40360 | 2011-11-16 |
| 1528358298 | Handsbath | Public Health or Welfare | 68 Oberline St., Owingsville, KY 40360 | 2011-04-14 |
| 1093950800 | Kathy Moore Carter | Occupational Therapist | 406 Wyoming Rd, Owingsville, KY 40360 | 2008-12-08 |
| 1114131844 | First Steps | Public Health or Welfare | 39 Cedar Creek, Owingsville, KY 40360 | 2007-05-10 |
| 1750413035 | Bath County High School | Public Health or Welfare | 645 Chenault Dr, Owingsville, KY 40360 | 2007-03-12 |
| 1740312065 | Owingsville Elementary | Public Health or Welfare | 50 Chanault Drive, Owingsville, KY 40360 | 2007-03-12 |
| 1114059029 | Gateway District Health Department | Clinic/Center | 68 Oberline Street, Owingsville, KY 40360 | 2007-03-09 |
| 1710027701 | Gateway Regional Health Systems Inc | Internal Medicine | 44 Water St, Owingsville, KY 40360 | 2007-02-07 |
| Find all providers in zip 40360 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871683250 | Donna Randall | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2006-10-13 |
| 1023026853 | Anthony Wayne Deveraux | Counselor | 664 Slate Avenue, Owingsville, KY 40360 | 2006-08-04 |
| 1073166385 | Blake Schaeffer | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2019-07-17 |
| 1790243707 | Haley Lane | Counselor | 664 Slate Ave, Owingsville, KY 40360-0327 | 2019-03-08 |
| 1124591144 | Hollie M Rasche | Counselor | 664 Slate Ave, Owingsville, KY 40371 | 2019-01-03 |
| 1568986495 | Chawn Morgan | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2017-08-02 |
| 1104270792 | Kayla Semones | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2016-04-20 |
| 1558729848 | Katherine Woods | Counselor | 664 Slate Ave, Owingsville, KY 40360 | 2016-02-02 |
| 1275915720 | Michael Howard | Counselor | 664 Slate Avenue, Owingsville, KY 40360 | 2015-06-22 |
| 1992110282 | James Messer | Counselor | 664 Slate Avenue, Owingsville, KY 40360 | 2014-06-25 |
| Find all providers in OWINGSVILLE | ||||
| City | OWINGSVILLE |
| Zip Code | 40360 |
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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.