Organization Active NPI

Turner Therapy and Wellness, LLC.

  • Mental Health Counselor
  • Jackson, KY
National Provider Identifier
1205553013
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TURNER THERAPY AND WELLNESS, LLC.
Practice address
1029 College Ave Ste B
Jackson, KY 41339-1070
Phone
(606) 233-3414
NPI assigned
Oct 21, 2022
Last updated
Sep 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Authorized official

Name
Susan Carol Turner, LPCCNPI 1407157563
Title
Private Practice Owner/Operator
Phone
(606) 221-7272

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1029 College Ave Ste B
Jackson, KY 41339-1070

Mailing address

3610 Highway 1933
Jackson, KY 41339-8560
Phone (606) 568-7300

Other identifiers 1

IdentifierTypeStateIssuer
7100910560MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002361 KY Part B Supplier - Clinic/Group Practice 1052750791 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695427200000",
    "number": "1205553013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 HIGHWAY 1933",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398560",
            "telephone_number": "606-568-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 COLLEGE AVE STE B",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413391070",
            "telephone_number": "606-233-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURNER THERAPY AND WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRIVATE PRACTICE OWNER/OPERATOR",
        "authorized_official_telephone_number": "606-221-7272",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100910560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.