Organization Active NPI

Beall Recovery Clinics

  • Addiction Medicine (Preventive Medicine) Physician
  • Winchester, KY
National Provider Identifier
1356997449
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
BEALL RECOVERY CLINICS
Doing business as
Beall Recovery Clinics
Practice address
1145 W Lexington Ave Ste C
Winchester, KY 40391-1290
Phone
(859) 385-4093
Fax
(859) 355-4058
NPI assigned
Aug 14, 2019
Last updated
Feb 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Tiffany Osborne
Title
Owner
Phone
(859) 385-4093

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1145 W Lexington Ave Ste C
Winchester, KY 40391-1290

Mailing address

1145 W Lexington Ave Ste C
Winchester, KY 40391-1290
Phone (859) 385-4093

Other practice location 1

1134 US Highway 27 S Ste 2
Cynthiana, KY 41031-4177
Phone (859) 234-9799

Other practice location 2

5860 Main St Ste D
Clay City, KY 40312-1329
Phone (606) 612-5092

Other names 1

  • Beall Recovery Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205003050 KY Part B Supplier - Clinic/Group Practice 2062845902 Receives reassigned benefits from 3 practitioners
Practice locations: Cynthiana, KY; Clay City, KY; Winchester, KY

National Provider Directory

National Provider Directory

Locations

5860 Main St
Ste D
Clay City, KY 40312
Phone (606) 612-5092

112 W High St
Lexington, KY 40507
Phone (859) 523-3009

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1356997449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W LEXINGTON AVE STE C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911290",
            "telephone_number": "859-385-4093",
            "fax_number": "859-355-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W LEXINGTON AVE STE C",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911290",
            "telephone_number": "859-385-4093",
            "fax_number": "859-355-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 US Highway 27 S Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cynthiana",
            "state": "KY",
            "postal_code": "410314177",
            "country_code": "US",
            "telephone_number": "859-234-9799",
            "fax_number": "859-234-9858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5860 Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Clay City",
            "state": "KY",
            "postal_code": "403121329",
            "country_code": "US",
            "telephone_number": "606-612-5092",
            "fax_number": "606-512-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEALL RECOVERY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-385-4093"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beall Recovery Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beall Recovery Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.