Northern Kentucky Consumer Directed Option Program

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM

Practice address

22 Spiral Dr
Florence, KY 41042-1300

Phone

(859) 283-1885

NPI assigned

May 12, 2008

Organization subpart

No

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

Authorized official

Name

Larry Bosley

Title

Finance Officer

Phone

(859) 283-1885

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Northern Kentucky Consumer Directed Option Program3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Kentucky Consumer Directed Option Program

  • Supports Brokerage Agency
  • Florence, KY
  • NPI 1093982795
  NPD tax ID
• Northern Kentucky Consumer Directed Options Program

  • Supports Brokerage Agency
  • Florence, KY
  • NPI 1104958370
  NPD tax ID

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1285801985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SPIRAL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421300",
            "telephone_number": "859-283-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SPIRAL DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421300",
            "telephone_number": "859-283-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY CONSUMER DIRECTED OPTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "859-283-1885"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33001421",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ike Northcutt
• Northern Kentucky Behavioral Health
• Northern Kentucky Center for Pain Relief, LLC
• Northern Kentucky Childrens Advocacy Center
• Northern Kentucky Consumer Directed Option Program
• Northern Kentucky Consumer Directed Options Program
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC
• Northern Kentucky Foot Specialists, PSC

• Supports Brokerage Agency in Florence, KY
• Providers in Florence, KY by specialty
• Supports Brokerage Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.