Organization Active NPI

Estes Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisport, KY
National Provider Identifier
1194075150
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3004576 Issued in KY
Legal business name
ESTES BEHAVIORAL HEALTH, LLC
Practice address
1210 4TH St
Lewisport, KY 42351-2526
Phone
(270) 295-6450
Fax
(270) 295-6452
NPI assigned
Sep 17, 2012
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Jessica L Estes, APRN-NP
Title
Owner
Phone
(270) 295-6450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 3004576 KY Primary

Addresses

Primary practice location

1210 4TH St
Lewisport, KY 42351-2526

Mailing address

PO Box 297
1210 4TH Street
Lewisport, KY 42351-0297
Phone (270) 295-6450

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1580 4th St
Lewisport, KY 42351
Phone (270) 295-4255

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": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1194075150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "address_2": "1210 4TH STREET",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423510297",
            "telephone_number": "270-295-6450",
            "fax_number": "270-295-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 4TH ST",
            "city": "LEWISPORT",
            "state": "KY",
            "postal_code": "423512526",
            "telephone_number": "270-295-6450",
            "fax_number": "270-295-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTES BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-295-6450",
        "authorized_official_credential": "APRN-NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3004576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisport, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.