4TH Dimension Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

4TH DIMENSION TREATMENT CENTER

Practice address

152 Highway 990
Coalgood, KY 40818-5001

Phone

(606) 273-2134

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Leann Witt, LPCANPI 1306495395

Title

Ceo

Phone

(606) 273-2134

Specialties & licenses 4

Addresses

Other identifiers 1

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.

• Jennifer L Witt

  • Professional Counselor
  • London, KY
  • NPI 1306495395
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1184468183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HIGHWAY 990",
            "city": "COALGOOD",
            "state": "KY",
            "postal_code": "408185001",
            "telephone_number": "606-273-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HIGHWAY 990",
            "city": "COALGOOD",
            "state": "KY",
            "postal_code": "408185001",
            "telephone_number": "606-273-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4TH DIMENSION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-273-2134",
        "authorized_official_credential": "LPCA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800453",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Hubbs, PHARMD

• Substance Abuse Rehabilitation Facility in Coalgood, KY
• Providers in Coalgood, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

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