Active NPI
Divine Transitions LLC
- Mental Health Counselor
- Paducah, KY
National Provider Identifier
1023827854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DIVINE TRANSITIONS LLC
- Practice address
- 131 Nahm St Ste 9
Paducah, KY 42001-4362 - Phone
- (270) 625-5005
- Fax
- (270) 713-0638
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Wiggs
- Title
- Medical Billing Specialist
- Phone
- (765) 760-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
131 Nahm St Ste 9
Paducah, KY 42001-4362
Mailing address
131 Nahm St Ste 9
Paducah, KY 42001-4362
Phone (270) 625-5005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100866450 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 Fountain Ave
Paducah, KY 42001
131 Nahm St
Ste 9
Paducah, KY 42001
Phone (270) 443-9285
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Paducah, KY
- NPI 1588382923
-
- Mental Health Counselor
- Paducah, KY
- NPI 1225684335
-
- Community Health Worker
- Prestonsburg, KY
- NPI 1932784493
-
- Social Worker
- Paducah, KY
- NPI 1902969165
-
- Clinical Social Worker
- Paducah, KY
- NPI 1023003985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1023827854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 NAHM ST STE 9",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014362",
"telephone_number": "270-625-5005",
"fax_number": "270-713-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NAHM ST STE 9",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014362",
"telephone_number": "270-625-5005",
"fax_number": "270-713-0638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE TRANSITIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "WIGGS",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
"authorized_official_telephone_number": "765-760-3500"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100866450",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.