New Vista of the Bluegrass Inc
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Harrodsburg, KY
NPI 1366482242 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1366482242
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 800121 (KY)
- Legal business name
- NEW VISTA OF THE BLUEGRASS INC
- Practice address
- 124 E Office St
Harrodsburg, KY 40330-1606 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Dee Werline
- Title
- President/Ceo
- Phone
- (859) 253-1686
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031217000869 | KY | Part B Supplier - Clinic/Group Practice | 6608773619 |
Receives reassigned benefits from 133 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Berea, KY; Winchester, KY; Versailles, KY; Stanton, KY; Stanford, KY; Richmond, KY; Paris, KY; Nicholasville, KY… |
National Provider Directory
- Tax ID family
- Bluegrass Regional MH M
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 800121 | KY | Yes |
Addresses
Primary practice location
124 E Office St
Harrodsburg, KY 40330-1606
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273815000 | Other | KY | MAGELLAN 332 |
| 33900119 | Medicaid | KY | |
| 101483 | Other | KY | CHA INSURANCE |
| 000000057414 | Other | KY | ANTHEM |
| 30615058 | Medicaid | KY | |
| 874068 | Other | KY | USA |
| 207023 | Other | KY | MHN |
| 27015015 | Medicaid | KY | |
| 29000003 | Medicaid | KY | |
| 242395 | Other | KY | COMPSYCH |
| 091018 | Other | KY | VALUE OPTIONS |
| 28015014 | Medicaid | KY |
Other names
- Bluegrass.org
- Bluegrass Regional MHMR Board
Other providers in Harrodsburg, KY
- Virginia Morris
- Tamme L Morse
- Amanda Moss
- New Beginnings Chiropractic of Community Health PLLC
- New Hope Agency
- Jennifer A. Nichols
- Nick Dedman, MD and Associates, P.S.C.
- Kaitlin Niemiec
- George W Noe
- Kara Osburn
All providers in Harrodsburg, KY · Mental Health Clinic/Center (Including Community Mental Health Center) in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.