Organization Active NPI

Ashland Mental Health Professional Limited Liability Company

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1093560377
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ASHLAND MENTAL HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY
Practice address
1557 Winchester Ave Ste 207
Ashland, KY 41101-7645
Phone
(606) 722-0486
NPI assigned
Apr 20, 2024
Last updated
Apr 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Jessica Ann Maupin, APRN, PMHNP-BCNPI 1386255149
Title
Founder
Phone
(606) 722-0486

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1557 Winchester Ave Ste 207
Ashland, KY 41101-7645

Mailing address

1557 Winchester Ave Ste 207
Ashland, KY 41101-7645
Phone (606) 722-0486

National Provider Directory

National Provider Directory

Locations

1557 Winchester Ave
Ste 207
Ashland, KY 41101
Phone (606) 722-0486

Practitioners & affiliated clinicians

Practitioners 1

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": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1093560377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 WINCHESTER AVE STE 207",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017645",
            "telephone_number": "606-722-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 WINCHESTER AVE STE 207",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017645",
            "telephone_number": "606-722-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND MENTAL HEALTH PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "606-722-0486",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.