CAMPBELLSVILLE UNIVERSITY (NPI# 1861039661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861039661 |
| Entity Type | Organization |
| Organization Name | CAMPBELLSVILLE UNIVERSITY |
| Other Organization Name | CU WELL COUNSELING CENTER |
| Practice Address |
4420 Dixie Hwy Ste 230 Louisville KY 40216-2986 |
| Practice Telephone | 5027530264 |
| Mailing Telephone | 5027530264 |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |
| Authorized Official Name | DR. KEN HOLLIS (MMFT PROGRAM DIRECTOR) |
| Authorized Official Telephone | 5027530264 |
| Authorized Official Credential | PHD LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| CU Well Counseling Center | Doing Business As Name - Organization |
| Street Address |
4420 DIXIE HWY STE 230 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40216-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516634 | Kristi Black | Marriage & Family Therapist | 4420 Dixie Hwy Ste 230, Louisville, KY 40216-2986 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291813 | Austin Roush | Occupational Therapist | 4512 River Front Dr, Louisville, KY 40216 | 2019-08-20 |
| 1689226201 | A Better You Health Services, Pllc | Nurse Practitioner | 1719 Colony Court, Louisille, KY 40216 | 2019-07-13 |
| 1649765462 | Bbb of Ky, LLC | Dentist | 5225 Dixie Hwy, Louisville, KY 40216 | 2018-06-25 |
| 1154829521 | Farnsley Chiropractic, Pllc | Chiropractor | 3500 Dixie Highway, Louisville, KY 40216 | 2018-01-31 |
| 1114441110 | Ryan Michael Alpino | Optometrist | 4917 1/2 Dixie Hwy, Suite H, Louisville, KY 40216 | 2017-08-01 |
| 1528595873 | Kentucky Injury & Rehab LLC | Chiropractor | 5120 Dixie Hwy Suite 106, Louisville, KY 40216 | 2017-05-17 |
| 1326598533 | Nichelle Marshall | Nurse Practitioner | 4912 Dixie Highway, Louisville, KY 40216 | 2016-10-12 |
| 1891194833 | Denise Yvonne Payne | Dentist | 4115 Dixie Highway, Louisville, KY 40216 | 2014-08-15 |
| 1881031052 | Brian L. Tripp | Veterinarian | 2401 Dixie Highway, Louisville, KY 40216 | 2013-05-29 |
| 1134468028 | West Dixie Spine and Rehab Centers | Chiropractor | 5105 B Dixie Hwy, Louisville, KY 40216 | 2013-02-12 |
| Find all providers in zip 40216 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141457 | Patrick Dior Jackson | Counselor | 5111 S 3rd St, Louisville, KY 40214-2601 | 2019-08-28 |
| 1255732442 | Kathryn Temple | Counselor | 320 Owl Dr, Louisville, CO 80027-2242 | 2014-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821255 | Mackenzie Erin Kennett | Counselor | 636 Central Pike, Harrodsburg, KY 40330-7718 | 2019-10-06 |
| 1124501101 | Callie Elizabeth Quillen | Counselor | 915 N Laurel Rd, London, KY 40741-9029 | 2018-09-14 |
| 1588873988 | Shauna Vanessa Bratton | Counselor | 3825 Dixie Hwy, Elsmere, KY 41018-1809 | 2007-05-22 |
| 1811025075 | Grayson County Board of Education | Counselor | 909 Brandenburg Rd, Leitchfield, KY 42754-2001 | 2007-03-01 |
| 1346881885 | Pamela Justice Stewart | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2019-10-07 |
| 1356713804 | Mindy Pfau | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2015-10-23 |
| 1457768780 | Russ White | Counselor | 3025 Clay St, Paducah, KY 42001-4071 | 2014-07-18 |
| 1205060274 | Angelia Campbell | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2009-05-06 |
| 1386855401 | Randi Beth Sutnick | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-24 |
| 1407066202 | Christina Ann Hill | Counselor | 3629 Church St, Covington, KY 41015-1430 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40216 |
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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.