PATRICK MICHAEL FOGARTY (NPI# 1841897519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841897519 |
| Entity Type | Individual |
| Full Name | PATRICK MICHAEL FOGARTY |
| Credential | CADC |
| Practice Address |
125 S Main Cross St Louisa KY 41230-1065 |
| Practice Telephone | 6066390938 |
| Practice Fax Number | 8598135394 |
| Mailing Telephone | 6066390938 |
| Mailing Fax Number | 8598135394 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528016052 | Patrick F Fogarty | Internal Medicine | 3400 Civic Center Boulevard, Philadelphia, PA 19104-5127 | 2006-05-05 |
| Street Address |
125 S MAIN CROSS ST |
| City | LOUISA |
| State | KY |
| Zip Code | 41230-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154415594 | Amanda Slone | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2006-10-02 |
| 1124629282 | Brittany Baker | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-11-05 |
| 1750981296 | Ashlee Nicole Clemmons | Registered Nurse | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-26 |
| 1740889526 | Timothy Carter | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-22 |
| 1447858428 | Nancy Lynn Pelfrey | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-13 |
| 1104424183 | Carl Eugene Johnson IIi | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-13 |
| 1497352983 | Aquarius Dion Young | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
| 1760089254 | John Kevin Schmidt Jr. | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
| 1942817622 | Seth Patrick Myers | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-09-28 |
| 1154936250 | Dustin Hiram Cornett | Peer Specialist | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533599 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 105-107 E Madison St., Louisa, KY 41230 | 2019-11-18 |
| 1780236570 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 1640 Jerushia Branch Rd., Booneville, KY 41230 | 2019-07-11 |
| 1922528272 | Samantha Paige Stanley | Peer Specialist | 221 Windy Hill Drive, Louisa, KY 41230 | 2017-06-27 |
| 1407393457 | Chandra D Blevins | Peer Specialist | 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 | 2017-01-30 |
| 1033654876 | Amanda Hurley | Peer Specialist | 125 N. Main Cross Street, Louisa, KY 41230 | 2017-01-04 |
| 1780127753 | Dakota Williams | Peer Specialist | 125 N Cross Main St, Louisa, KY 41230 | 2016-11-23 |
| 1568905529 | Tara Runyon | Peer Specialist | 125 N Main Cross Street, Louisa, KY 41230 | 2016-11-23 |
| 1134575624 | Misty Howell I | Peer Specialist | 125 S. Main Cross Street, Louisa, KY 41230 | 2016-05-13 |
| 1720404478 | Louisa Dental Care | Dentist | 203 S. Water St, Louisa, KY 41230 | 2014-03-05 |
| 1326336728 | Elite Chiropractic Psc | Chiropractor | 4347 Highway 2565, Louisa, KY 41230 | 2011-07-19 |
| Find all providers in zip 41230 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770402 | Cornerstone Christian Counseling | Counselor | 203 South Water Street, Suite 101, Louisa, KY 41230 | 2010-09-14 |
| 1497352983 | Aquarius Dion Young | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
| 1760089254 | John Kevin Schmidt Jr. | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-10-07 |
| 1346858826 | Christopher Thornsberry | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2020-07-21 |
| 1770098139 | Andrew Justin Baker Rose | Counselor | 125 S Main Cross St, Louisa, KY 41230-1065 | 2017-12-07 |
| 1104157528 | Shelia Ann Kensinger | Counselor | 203 S Water St, Suite 101, Louisa, KY 41230-1347 | 2010-01-25 |
| 1821195827 | Carolyn Wood | Counselor | 60 Professional Park Dr, Louisa, KY 41230-9644 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738741 | Tina Hacker | Counselor | Crossroads Treatment Centers, 1974 Walton Nicholson Rd, Independence, KY 41051 | 2020-10-26 |
| 1851998181 | Specialistsmat Psc | Counselor | 110 Chase Way Ste 2, Elizabethtown, KY 42701-7827 | 2020-10-09 |
| 1538774914 | Lynn Marie Richendollar | Counselor | 148 S. Nelson Park Rd, Paducah, KY 42001-4200 | 2020-09-11 |
| 1972114585 | Lynn Nicole Thompson | Counselor | 1621 Foxhaven Dr, Richmond, KY 40475-1056 | 2020-08-17 |
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1285252080 | Shamara Huguely | Counselor | 455 Park Pl # 130, Lexington, KY 40511-1881 | 2020-07-08 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1730702788 | Ruth Gonia | Counselor | 2810 Rosewood Rd, La Grange, KY 40031-9323 | 2020-05-26 |
| 1063040871 | National Treatment Prevention and Education Center | Counselor | 6452 Alum Springs Rd, Danville, KY 40422-9054 | 2020-03-28 |
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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.