Kentucky Addiction Centers, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

03015 Issued in KY

Legal business name

KENTUCKY ADDICTION CENTERS, LLC

Practice address

625 Tech Dr
Winchester, KY 40391-9662

Phone

(859) 739-3552

NPI assigned

Apr 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin D Ferguson, LCADCNPI 1154743607

Title

Member

Phone

(606) 369-4617

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Benjamin Dorsey Ferguson IV, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Prestonsburg, KY
  • NPI 1154743607
  NPD Authorized official

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

{
    "created_epoch": "1492819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1245765734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 TECH DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919662",
            "telephone_number": "606-369-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TECH DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919662",
            "telephone_number": "859-739-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY ADDICTION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-22",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-369-4617",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": "03015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100009300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily R Kaskey
• Kathryn B Jones MD PSC
• Keally Dentistry, PLLC
• Carson Keally, D.M.D
• Kentucky Addiction Centers Winchester, LLC
• Kentucky Bariatric, Inc
• Kentucky CVS Pharmacy, L.L.C.
• Kentucky Hospital LLC
• Kentucky Hospital, LLC
• Kentucky Hospital, LLC

• Substance Abuse Rehabilitation Facility in Winchester, KY
• Providers in Winchester, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.