BOBBI SUE SOPER (NPI# 1902379308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902379308 |
| Entity Type | Individual |
| Full Name | BOBBI SUE SOPER |
| Credential | TCADC, MSP |
| Practice Address |
2150 Carter Ave Ashland KY 41101-7734 |
| Mailing Address |
3004 Bath Ave Ashland KY 41101-3032 |
| Practice Telephone | 6063935926 |
| Practice Fax Number | 6063935613 |
| Mailing Telephone | 6064715319 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 169265 | KY | Behavioral Health & Social Service Providers |
| Street Address |
2150 CARTER AVE |
| City | ASHLAND |
| State | KY |
| Zip Code | 41101-7734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194195586 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 2150 Carter Ave, Ashland, KY 41101-7734 | 2015-09-29 |
| 1275076945 | Center for Comprehensive Services, Inc | Rehabilitation Hospital | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-11-29 |
| 1720446552 | Steven Wheeler | Occupational Therapist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-02-08 |
| 1114384898 | Lonnie Carpenter | Speech-Language Pathologist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-01-26 |
| 1700243474 | Janice Osborne Dowdy | Speech-Language Pathologist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-01-26 |
| 1861859266 | Alissa Cannoy | Occupational Therapist | 2150 Carter Ave, Ashland, KY 41101-7734 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1306309067 | Ccc Management, LLC | Durable Medical Equipment & Medical Supplies | 1237 Carter Ave, Ashland, KY 41101 | 2019-04-10 |
| 1366925505 | Samantha Manci | Pharmacist | 2201 Lexington Ashland, Ashalnd, KY 41101 | 2018-09-13 |
| 1174068662 | Lea Ann Reeves-gollihue | Counselor | 1701 Central Ave., Ste. 250, Ashland, KY 41101 | 2016-12-20 |
| 1245786078 | Lindsay Marie Hagerman | Respiratory Therapist, Registered | 2413 Bradley Drive, Ashland, KY 41101 | 2016-08-31 |
| 1033572540 | A Center 4 Change | Psychologist | 5900 Us 60 W, Suite B, Ashland, KY 41101 | 2016-04-01 |
| 1013301159 | Precision Analysis Lab, LLC | Clinical Medical Laboratory | 101 17th Street, Ashland, KY 41101 | 2015-03-26 |
| 1639518574 | Steven Wayne Ledford Jr. | Dentist | 2301 Lexington Ave Ste 120, Ashland, KY 41101 | 2013-06-24 |
| 1528405875 | Brittani Kay Dingess | Pediatrics | 100 Ashland Dr, Ste 102, Ashland, KY 41101 | 2013-05-28 |
| 1770813487 | Paula Jean Hogsten | Clinical Nurse Specialist | 432 - 16th Street, Suite B- Tri State Nephrology, Ashland, KY 41101 | 2009-12-31 |
| Find all providers in zip 41101 | ||||
| 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 |
|---|---|---|---|---|
| 1073079711 | Jennifer Dolson | Counselor | 2165 Carter Ave, Ashland, KY 41101-7733 | 2019-02-19 |
| 1316423494 | Thomas Charles Pike | Counselor | 248 Orange Ave, Ashland, OR 97520-1124 | 2018-07-12 |
| 1134643653 | Rosewitha Shelton | Counselor | 325 Hill Carter Pkwy Ste L, Ashland, VA 23005-2317 | 2017-07-26 |
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1881144525 | Amanda Dejesus | Counselor | 2516 Carter Ave, Ashland, KY 41101-7830 | 2016-10-06 |
| 1497113369 | David Ross | Counselor | 1605 County Road 1095, Ashland, OH 44805-9593 | 2016-02-05 |
| 1245604958 | Kory Witkus | Counselor | 1308 Grandview Dr, Ashland, KY 41101-6330 | 2015-11-18 |
| 1760729966 | Lisa K Waskey | Counselor | 340 17th St Ste 2, Ashland, KY 41101-7628 | 2013-01-08 |
| 1518230416 | Glenn Gelfenbein | Counselor | 149 Clear Creek Dr Unit 103, Ashland, OR 97520-1882 | 2012-02-23 |
| 1366723207 | Sarah M Verducci | Counselor | 502 A St, Suite 2, Ashland, OR 97520-2281 | 2011-09-06 |
| Find all providers in ASHLAND | ||||
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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.