Traverse Behavioral Health Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRAVERSE BEHAVIORAL HEALTH SERVICES LLC

Practice address

211 8TH St
Paintsville, KY 41240-1284

Phone

(606) 209-1548

Fax

(606) 770-6008

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Charlie ElrodNPI 1598243735

Title

Owner

Phone

(606) 209-1548

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charlie Elrod

  • Mental Health Counselor
  • Prestonsburg, KY
  • NPI 1598243735

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1275214009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 8TH ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401284",
            "telephone_number": "606-209-1548",
            "fax_number": "606-770-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 8TH ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401284",
            "telephone_number": "606-209-1548",
            "fax_number": "606-770-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVERSE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-209-1548",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Paintsville, KY
• Providers in Paintsville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.