DORA GINA FERGUSON (NPI# 1790131019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790131019 |
Entity Type | Individual |
Full Name | DORA GINA FERGUSON |
Credential | LPCC |
Practice Address |
7 Waveland Ave Winchester KY 40391-1231 |
Practice Telephone | 8593854669 |
Practice Fax Number | 8592011450 |
Mailing Telephone | 8593854669 |
Mailing Fax Number | 8592011450 |
Enumeration Date | 2016-05-05 |
Last Update Date | 2020-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
248104 | KY | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
438 Washington St, Stanton, KY 403802048 | 6066632274 | 6066632210 |
Street Address |
7 WAVELAND AVE |
City | WINCHESTER |
State | KY |
Zip Code | 40391-1231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356942346 | Marquetta Louise Brown | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-11-05 |
1730791302 | Amanda Rene Sowers | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-17 |
1003427824 | Niki L Ledford | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-14 |
1417567173 | Austina Bruton | Counselor | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-08-06 |
1093339079 | Michelle Renea Berendsen | Case Manager/Care Coordinator | 7 Waveland Ave, Winchester, KY 40391-1231 | 2020-06-04 |
1063050128 | Jacob Hurd | Counselor | 7 Waveland Ave, Winchester, KY 40391-1231 | 2019-12-19 |
1508397340 | National Youth Advocate Program, Inc | Foster Care Agency | 7 Waveland Ave, Winchester, KY 40391-1231 | 2017-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255838710 | Sharrock Strength and Rehab LLC | Clinic/Center | 1932 Bypass Road, Winchester, KY 40391 | 2018-04-11 |
1316264385 | Yvonne Marie Pendleton | Massage Therapist | 126 Professional Ave., Winchester, KY 40391 | 2010-04-29 |
1346478310 | Mack Anderson Kidd IIi | Registered Nurse | 105 Lindberg Rd., Winchester, KY 40391 | 2009-06-29 |
1043487572 | Rankin Douglas Skinner | Dentist | 726 Boonesboro Plaza, Winchester, KY 40391 | 2008-05-14 |
1427233592 | Clark County Health Department | Public Health or Welfare | 244 E. Broadway, Shearer Elementary School, Winchester, KY 40391 | 2008-01-08 |
1437334505 | Clark County Health Department | Public Health or Welfare | 250 N. Main St., Fannie Bush Elementary, Winchester, KY 40391 | 2008-01-08 |
1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
1932279262 | J Todd Scobee Dmd Psc | Clinic/Center | 1216 West Lexington Ave, Winchester, KY 40391 | 2006-11-08 |
1396823936 | Commonwealth Urology, Psc | Urology | 68 East Elkin Street, Stanton, KY 40391 | 2006-11-01 |
Find all providers in zip 40391 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265057988 | Danielle Renee Dietz | Counselor | 3363 Shawnee Dr Ste 100, Winchester, VA 22602-6300 | 2020-06-09 |
1689201394 | Terry Renna-mcgloin | Counselor | 411 N Cameron St Ste 301, Winchester, VA 22601-6046 | 2020-03-24 |
1700445137 | Catherine Elizabeth Patterson | Counselor | 2433 Valley Ave Ste 105, Winchester, VA 22601-6456 | 2019-06-10 |
1164988176 | Brandon Paul Floyd | Counselor | 213 Ridge Rd, Winchester, VA 22602-7429 | 2019-02-14 |
1962974949 | Center Psychotherapy | Counselor | 540 Main St Ste 14, Winchester, MA 01890-2940 | 2019-01-01 |
1134601610 | William Arthur Gomke | Counselor | 132 S Cameron St, Winchester, VA 22601-4733 | 2018-08-31 |
1710487046 | Connected Communities Inc | Counselor | 865 Valley Mill Rd, Winchester, VA 22602-6917 | 2018-02-13 |
1417490541 | Adrianne Beach | Counselor | 21 W Cecil St, Winchester, VA 22601-4623 | 2016-11-21 |
1386056851 | Deborah Mercer | Counselor | 58 W 500 N, Winchester, IN 47394-8999 | 2014-06-02 |
1215353552 | Rebecca Van Sickle | Counselor | 35160 Hulihee St, Winchester, CA 92596-8515 | 2014-03-11 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 40391 |
Please comment or provide details below to improve the information on DORA GINA FERGUSON.
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.