Structure House Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

STRUCTURE HOUSE RECOVERY LLC

Practice address

1501 S Main St Unit G2
London, KY 40741-2091

Phone

(606) 312-3912

Fax

(606) 260-8634

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Bret Philpot WatkinsNPI 1336801679

Title

Owner/Ceo/President

Phone

(606) 312-3912

Specialties & licenses 1

Addresses

Tax ID family

Structure House Recovery LLC2 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.

• Structure House Recovery LLC

  • Mental Health Counselor
  • London, KY
  • NPI 1275406324
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Structure House Recovery LLC

  • Mental Health Counselor
  • London, KY
  • NPI 1275406324
  NPPES parent name

Practitioners 1

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

• Bret Watkins

  • Peer Specialist
  • London, KY
  • NPI 1336801679
  NPD Authorized official

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1073220802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WHITLEY ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412041",
            "telephone_number": "606-312-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S MAIN ST UNIT G2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412091",
            "telephone_number": "606-312-3912",
            "fax_number": "606-260-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Whitley St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407412041",
            "country_code": "US",
            "telephone_number": "606-312-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STRUCTURE HOUSE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "PHILPOT",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "606-312-3912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Stewart
• Kacey M Stidham
• Lorie Jean Stines, APRN
• Streamline Case Management and Support LLC
• Streamline Case Management and Support LLC
• Structure House Recovery LLC
• Lisa Sturdivant, LPCC
• Jennifer Sturgill, TCM
• Brittany Dawn Sulfridge, TCADC
• Stephanie Marie Sumner, APRN, FNP-C

• Substance Use Disorder Rehabilitation Clinic/Center in London, KY
• Providers in London, KY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.