NPIMap

Organization Active NPI

Mended Counseling & Trauma Services

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1013508191
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MENDED COUNSELING & TRAUMA SERVICES
Practice address
824 Euclid Ave Ste A102
Lexington, KY 40502-1785
Phone
(859) 338-0006
NPI assigned
Feb 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessie Dayton, LPCCNPI 1043753296
Title
Licensed Clinical Counselor
Phone
(859) 429-0860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

824 Euclid Ave Ste A102
Lexington, KY 40502-1785

Mailing address

3977 Rapid Run Dr.
Lexington, KY 40515

Other practice location 1

3977 Rapid Run Dr.
Lexington, KY 40515
Phone (859) 429-0860

National Provider Directory

National Provider Directory
Tax ID family
Mended Counseling Trauma Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1013508191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 RAPID RUN DR.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 EUCLID AVE STE A102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021785",
            "telephone_number": "859-338-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3977 Rapid Run Dr.",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40515",
            "country_code": "US",
            "telephone_number": "859-429-0860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDED COUNSELING & TRAUMA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "859-429-0860",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.