Active NPI
A Zen Space, PLLC
- Community Health Clinic/Center
- Ashland, KY
National Provider Identifier
1285405472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273906698 | Medicaid | KY |
Other names 1
- Amanda Morris A Zen Space
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Ashland, KY
- NPI 1558767350
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.