MRS. KACEY LUSK JENKINS (NPI# 1689966731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689966731 |
Entity Type | Individual |
Full Name | MRS. KACEY LUSK JENKINS |
Credential | PH.D., LMFTA |
Practice Address |
1711 Ashley Cir Suite 2 Bowling Green KY 42104-5801 |
Practice Telephone | 2709355125 |
Practice Fax Number | 2708464887 |
Mailing Telephone | 2709355125 |
Mailing Fax Number | 2708464887 |
Enumeration Date | 2011-05-09 |
Last Update Date | 2015-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 106H00000X | Marriage & Family Therapist | MFTMFT00218369 | KY | Behavioral Health & Social Service Providers |
Street Address |
1711 ASHLEY CIR SUITE 2 |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-5801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952314007 | Manuel Robert Perez | Specialist | 1711 Ashley Cir, Suite 7 and 8, Bowling Green, KY 42104-5801 | 2006-08-13 |
1013369008 | Rozalind Bell | Counselor | 1711 Ashley Cir, Suite 2, Bowling Green, KY 42104-5801 | 2016-07-01 |
1295011880 | J. Andrew Craycroft D.m.d. Inc. | Dentist | 1711 Ashley Cir, Suite 3, Bowling Green, KY 42104-5801 | 2011-10-26 |
1700074994 | Paul E Gray | Physical Therapist | 1711 Ashley Cir, Suite 4, Bowling Green, KY 42104-5801 | 2007-10-12 |
1821113473 | Gary Thomas Jones | Pharmacist | 1711 Ashley Cir, Suite A-5, Bowling Green, KY 42104-5801 | 2007-03-20 |
1669517140 | J. Andrew Craycroft | Dentist | 1711 Ashley Cir, Suite 3, Bowling Green, KY 42104-5801 | 2007-02-21 |
1205978343 | Julia F Guillory | Pharmacist | 1711 Ashley Cir, Suite A-5, Bowling Green, KY 42104-5801 | 2007-02-13 |
1851469365 | Infusion Partners, Inc. | Home Health | 1711 Ashley Cir, Suite A-5, Bowling Green, KY 42104-5801 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295208577 | Jennifer Kehrle | Marriage & Family Therapist | 119 S 12th St Apt E, Bowling Green, MO 63334-1978 | 2019-01-09 |
1780901983 | Derrick A Mason | Marriage & Family Therapist | 1048 Ashley St Ste 201, Bowling Green, KY 42103-2449 | 2010-04-27 |
1336307487 | Charles R Burgett | Marriage & Family Therapist | 410 E 11th Ave, Bowling Green, KY 42101-2637 | 2008-05-27 |
1801099031 | Wanda Hale Schubarth | Marriage & Family Therapist | 410 East 11th Street, Bowling Green, KY 42102 | 2007-06-06 |
1033246350 | Kimberly G Early | Marriage & Family Therapist | 1830 Destiny Court, Suite 107, Bowling Green, KY 42104 | 2007-02-27 |
1245396738 | Diana Gail Caillouet | Marriage & Family Therapist | 2530 Scottsville Rd, 22, Bowling Green, KY 42104-6509 | 2006-12-29 |
1295821205 | Full Life Counseling Service, Psc | Marriage & Family Therapist | 1058 Us 31w Byp, Bowling Green, KY 42101-2418 | 2006-10-05 |
1295831436 | Tonya L Gregory | Marriage & Family Therapist | 1011 Lehman Ave Ste 103, Bowling Green, KY 42103-6515 | 2006-09-15 |
1558471110 | Teresa Rohman | Marriage & Family Therapist | 1719 Ashley Cir Ste 100, Bowling Green, KY 42104-5837 | 2006-08-30 |
1235695461 | Steven Allen Tyree | Marriage & Family Therapist | 1911b Scottsville Rd, Bowling Green, KY 42104-3303 | 2019-02-12 |
Find all providers in BOWLING GREEN |
City | BOWLING GREEN |
Zip Code | 42104 |
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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.