KVC Behavioral Healthcare Kentucky Inc
Organization Active NPI Mental Health Counselor · Lexington, KY
NPI 1083902191 · NPPES record last updated May 21, 2021
Key facts
- NPI
- 1083902191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- KVC BEHAVIORAL HEALTHCARE KENTUCKY INC
- Practice address
- 2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009 - Phone
- (859) 254-1035
- Fax
- (859) 254-2075
- NPI assigned
- Jul 11, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- KVC HEALTH SYSTEMS INC
Authorized official
- Name
- Regina Maria Klyachkin
- Title
- Authorized Official/President
- Phone
- (913) 322-4900
Corporate family (same tax ID) 12
Member organizations 1
Practitioners 65
-
Regina Maria Klyachkin, LCSW
-
Michael Travis Adams, LPCC
-
Lydia Akin, LCSW
-
Adam Asher Atherton, LPCC
-
Garra Delissa Barker, LCSW
-
Carrie Dawn Bice, LCSW
-
Michelle Cagle, MSW, LCSW
-
Rita Jane Crutcher, LPCC
-
Whitney Dailey, MSW, LCSW
-
Brittany Ann Hayes, LPCC-S
-
Samantha J Hobbs, LPCC
-
Ashley Jones, LCSW
-
Denise Rochelle Jones, LCSW
-
Danielle Nichole Keller, LCSW
-
Carissa Claire Lee, MSW, LCSW
-
Baylee Morris, APRN
-
Dionysia Okeh, LPCC
-
Ashley M Palmer, LCSW
-
Whitney H Parsons I, LPCC
-
Kelsey Patchman, LCSW
-
Tina Senesi, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210527002738 | KY | Part B Supplier - Clinic/Group Practice | 3072912880 |
Receives reassigned benefits from 40 practitioners Practice locations: Somerset, KY; Richmond, KY; Radcliff, KY; Morehead, KY; Louisville, KY; London, KY; Ivel, KY; Hazard, KY… |
National Provider Directory
- Tax ID family
- KVC Behavioral Healthcare Kentucky Inc
- Part of
- KVC Hospitals Inc
Locations
7351 US Route 60
Ashland, KY 41102
Phone (606) 356-9194
7570 US Highway 42
Ste A
Florence, KY 41042
71 Conn St
Ivel, KY 41642
Phone (606) 207-8550
408 N Main St
London, KY 40741
Phone (606) 878-3240
315 Townepark Cir
Ste 101
Louisville, KY 40243
1225 US Highway 60 W
Ste 107
Morehead, KY 40351
990 S Dixie Blvd
Ste 3
Radcliff, KY 40160
324 Highland Park Dr
Richmond, KY 40475
Phone (859) 300-4715
4311 S Highway 27
Ste 3
Somerset, KY 42501
Phone (859) 436-8403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| Clinical Psychologist |
103TC0700X | |||
| Clinical Social Worker |
1041C0700X | |||
| Health Maintenance Organization | 302R00000X | KY |
Addresses
Primary practice location
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Mailing address
2250 Thunderstick Dr Ste 1104
Lexington, KY 40505-9009
Phone (859) 254-1035
Other practice location 1
900 Beasley St
Suite 120
Lexington, KY 40509-4266
Phone (859) 254-1035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100283480 | Medicaid | KY | |
| 7100284110 | Medicaid | KY | |
| 7100318330 | Medicaid | KY |
Other providers in Lexington, KY
- Kva Global Corp.
- KVC
- KVC Behavioral Health
- KVC Behavioral Healthcare
- KVC Behavioral Healthcare
- KVC Behaviroral Health
- KVC Behavorial Healthcare
- Cheryl Kwok
- Ky Dental Professional, PSC
- Ky Doctors of Optometry, PLLC
All providers in Lexington, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.