MRS. KACEY LUSK JENKINS


Address: 1711 Ashley Cir, Suite 2, Bowling Green, KY 42104-5801
Phone: 2709355125

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1711 ASHLEY CIR
SUITE 2
City BOWLING GREEN
State KY
Zip Code 42104-5801

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BOWLING GREEN
Zip Code 42104

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Dataset Information

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.

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