Synergy Counseling and Wellness Center, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCCCA00216376 Issued in KY

Legal business name

SYNERGY COUNSELING AND WELLNESS CENTER, LLC

Practice address

14 N Main St
Madisonville, KY 42431-1963

Phone

(270) 245-2205

NPI assigned

Feb 25, 2015

Last updated

Feb 25, 2015By 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

Bonnie Hastings Young-Turley, M.ED., LPCANPI 1376967596

Title

Owner

Phone

(270) 245-2205

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Bonnie Hastings Young-Turley, M.ED., LPCA

  • Professional Counselor
  • Madisonville, KY
  • NPI 1376967596
  NPD (past) Authorized official

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1215329453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311963",
            "telephone_number": "270-245-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311963",
            "telephone_number": "270-245-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY COUNSELING AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG-TURLEY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "HASTINGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-245-2205",
        "authorized_official_credential": "M.ED., LPCA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "KY",
            "license": "LPCCCA00216376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30602015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tore Stuen, P.T.
• Jessica Lynn Sullivan
• Sunrise Children's Services, Inc. (Family Services Madisonville)
• Sunrise Children's Services, Inc. (Lakes and Rivers Region Foster Care - Madisonville)
• Jessica Sweeney, PHARMD
• Robin Tabor, BCBA
• Filza Tajik
• Caitlin Beth Crockett Tapp, MSW, LCSW
• Kellye L Tapp, APRN
• Rebecca V Tauil, PA

• Counselor in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.