NPIMap

Organization Active NPI

Emerald Therapy Center, LLC

  • Rural Health Clinic/Center
  • Paducah, KY
National Provider Identifier
1023715281
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EMERALD THERAPY CENTER, LLC
Practice address
2520 New Holt Rd Ste I
Paducah, KY 42001-7547
Phone
(270) 558-3916
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Shelly Baer, LCSWNPI 1396273272
Title
Executive Director
Phone
(270) 534-5128

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
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2520 New Holt Rd Ste I
Paducah, KY 42001-7547

Mailing address

5050 Village Square Dr Ste B
Paducah, KY 42001-7552
Phone (502) 565-9737

Other names 1

  • Emerald Healthcare Group Doing business as

National Provider Directory

National Provider Directory

Locations

1019 Paducah Rd
Ste C
Mayfield, KY 42066
Phone (270) 534-5128

2520 New Holt Rd
Paducah, KY 42001

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1023715281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 VILLAGE SQUARE DR STE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017552",
            "telephone_number": "502-565-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 NEW HOLT RD STE I",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017547",
            "telephone_number": "270-558-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "BAER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-534-5128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emerald Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.