Kiyla Mental Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KIYLA MENTAL CLINIC LLC

Practice address

2387 Professional Heights Dr Ste 140
Lexington, KY 40503-3056

Phone

(859) 303-5794

Fax

(859) 303-5390

NPI assigned

May 4, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Brady Stark

Title

Ed

Phone

(812) 801-1352

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pascaline Jumbuin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, KY
  • NPI 1194571513
  NPD (past)

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1225965460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 HAVANA CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118852",
            "telephone_number": "859-303-5794",
            "fax_number": "859-303-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 PROFESSIONAL HEIGHTS DR STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033056",
            "telephone_number": "859-303-5794",
            "fax_number": "859-303-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYLA MENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "812-801-1352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Kissick, PT
• John William Kitchens, M.D.
• Sandi K Kiteck, MSW
• Sheda Kitenge
• Karen L Kiviniemi, CRNA
• Amber Kizewski
• Wendy Ann Klaine, LCSW, LCADCA
• Monica Klampe
• Emma Mae Klanica
• Spencer Klautky

• Psychiatric/Mental Health Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.