JESSICA BROOKE CASTLEBERRY (NPI# 1841842010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841842010 |
| Entity Type | Individual |
| Full Name | JESSICA BROOKE CASTLEBERRY |
| Credential | LPCC |
| Practice Address |
Chrysalis House, Inc. 1589 Hill Rise Drive Lexington KY 40504 |
| Mailing Address |
3521 Germann Ct Lexington KY 40503-6314 |
| Practice Telephone | 8592550500 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 172036 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2375 Professional Heights Dr Ste 240, Lexington, KY 405033040 | 8555910092 |
| Street Address |
CHRYSALIS HOUSE, INC. 1589 HILL RISE DRIVE |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809953 | Michael Jason Blocker | Registered Nurse | 1 St Hoseph Drive, Lexington, KY 40504 | 2020-04-09 |
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1366962474 | Jessica Hope King | Dentist | 1330 Harrodsburg Road, Lexington, KY 40504 | 2017-06-21 |
| 1255861076 | Mary Elizabeth Bailey | Dentist | 1330 Harrodsburg Rd, Lexington, KY 40504 | 2017-06-14 |
| 1295172211 | Alan Kidon | Podiatrist | 1401 Harrodsburg Rd Ste C115, Lexington, KY 40504 | 2013-05-31 |
| 1578847554 | Linda W Mcdaniel | Pharmacist | 2181 Harrodsburg Road, Lexington, KY 40504 | 2011-10-07 |
| 1578844197 | Amber Kincaid Ballard | Nurse Practitioner | Uk Healthcare Team Blue Primary Care Clinic, 2400 Great Stone Point, Lexington, KY 40504 | 2011-09-09 |
| 1104118124 | Harry W Tenfelde IIi | Pharmacist | 2284 Versailles Rd., Lexington, KY 40504 | 2011-05-10 |
| 1831495506 | Horizon Headache Center, Pllc | Physical Therapist | 2365 Harrodsburg Road, Suite B-100, Lexington, KY 40504 | 2011-01-28 |
| 1184853277 | Ted D Ballard | Family Medicine | 1710 Williamsburg Rd, Lexington, KY 40504 | 2009-07-09 |
| Find all providers in zip 40504 | ||||
| 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 |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1447862560 | New Moon Counseling and Wellness, LLC | Counselor | 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 | 2020-08-19 |
| 1194370429 | Brain Health Center Psc | Counselor | 535 W Second St Ste 205, Lexington, KY 40508-2183 | 2019-08-05 |
| 1083120620 | Diana Reiss | Counselor | 714 S Lake Drive, 120, Lexington, SC 29072 | 2017-12-19 |
| 1326588120 | Ethan Nathaniel Grimes | Counselor | 124 Cisco Rd, Lexington, KY 40504-1143 | 2017-02-28 |
| 1669911202 | Suzanne Rose Troy | Counselor | 110-a Cotton Grove Rd., Lexington, NC 27292 | 2017-02-15 |
| 1265977342 | Tara Bangtson | Counselor | 251 E Maxwell St, Lexington, KY 40508-2636 | 2016-12-28 |
| 1265974828 | Megan Perkins | Counselor | 464 W Second St # 9, Lexington, KY 40507-1040 | 2016-11-14 |
| 1851768436 | Rebecca Lynn Host | Counselor | 128 Dennis Dr, Lexington, KY 40503-2917 | 2015-08-30 |
| 1144608944 | Courtney Mcmillian | Counselor | 582 Wrenn Dr, Lexington, NC 27292-7598 | 2015-05-12 |
| Find all providers in LEXINGTON | ||||
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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.