NPIMap

Organization Active NPI

Awareness and Discovery Group LLC

Doing business as Awareness & Discovery Modlin Group

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Florence, KY
National Provider Identifier
1053692012
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AWARENESS AND DISCOVERY GROUP LLC
Doing business as
Awareness & Discovery Modlin Group
Practice address
2 Dortha Ave
Florence, KY 41042-2014
Phone
(859) 525-1487
Fax
(859) 525-7811
NPI assigned
Sep 6, 2011
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Mr. Rick N. Hamm, LCSW
Title
Director of Clinical Services
Phone
(859) 525-1487

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2 Dortha Ave
Florence, KY 41042-2014

Mailing address

2 Dortha Ave
Florence, KY 41042-2014
Phone (859) 525-1487

Other names 1

  • Awareness & Discovery Modlin Group Doing business as

National Provider Directory

National Provider Directory

Locations

2 Dortha Ave
Florence, KY 41042
Phone (859) 525-1487

Practitioners & affiliated clinicians

Practitioners 2

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": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1053692012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DORTHA AVE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422014",
            "telephone_number": "859-525-1487",
            "fax_number": "859-525-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DORTHA AVE",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422014",
            "telephone_number": "859-525-1487",
            "fax_number": "859-525-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS AND DISCOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "859-525-1487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awareness & Discovery Modlin Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.