Organization Active NPI

A Zen Space, PLLC

  • Community Health Clinic/Center
  • Ashland, KY
National Provider Identifier
1285405472
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
A ZEN SPACE, PLLC
Practice address
800 13TH St
Ashland, KY 41101-2638
Phone
(740) 357-8667
NPI assigned
Jan 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Amanda K Morris, M.ED., LPCC, NCC
Title
Owner
Phone
(740) 357-8667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

800 13TH St
Ashland, KY 41101-2638

Mailing address

800 13TH St
Ashland, KY 41101-2638
Phone (740) 357-8667

Other identifiers 1

IdentifierTypeStateIssuer
273906698MedicaidKY

Other names 1

  • Amanda Morris A Zen Space Doing business as

National Provider Directory

National Provider Directory

Locations

800 13th St
Ashland, KY 41101
Phone (740) 357-8667

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1285405472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012638",
            "telephone_number": "740-357-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012638",
            "telephone_number": "740-357-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A ZEN SPACE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-357-8667",
        "authorized_official_credential": "M.ED., LPCC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273906698",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Morris A Zen Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.