Active NPI
Estes Behavioral Health, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lewisport, KY
National Provider Identifier
1194075150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3004576
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryMember 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.