Organization Active NPI

Commonwealth Psychological Services PLLC

  • Mental Health Counselor
  • Pikeville, KY
National Provider Identifier
1215299706
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1479 Issued in KY
Legal business name
COMMONWEALTH PSYCHOLOGICAL SERVICES PLLC
Practice address
147 Main St
Suite 210
Pikeville, KY 41501-1147
Phone
(859) 338-8024
Fax
(606) 432-3890
NPI assigned
Jun 12, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Leigh A Ford, PHDNPI 1891086427
Title
Licensed Psychological
Phone
(859) 338-8024

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1479 KY Primary

Addresses

Primary practice location

147 Main St
Suite 210
Pikeville, KY 41501-1147

Mailing address

147 Main St
Suite 210
Pikeville, KY 41501-1147
Phone (859) 338-8024

National Provider Directory

National Provider Directory

Locations

147 Main St
Ste 210
Pikeville, KY 41501
Phone (859) 338-8024

237 2nd St
Ste 5
Pikeville, KY 41501
Phone (606) 432-6957

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1215299706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011147",
            "telephone_number": "859-338-8024",
            "fax_number": "606-432-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 MAIN ST",
            "address_2": "SUITE 210",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011147",
            "telephone_number": "859-338-8024",
            "fax_number": "606-432-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGICAL",
        "authorized_official_telephone_number": "859-338-8024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.