New Vista of the Bluegrass
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Lexington, KY
NPI 1366482317 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1366482317
- 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
- Practice address
- 1351 Newtown Pike
BLDG 5
Lexington, KY 40511-1275 - 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
Practitioners 67
-
Rizwan Ali, MD
-
Peggy Kessler Bland, MRS
-
Andrea Marie Noyes Bruhn, LMFT
-
Bradlee Burtner, LCSW
-
Cara Jean Cain, LPCA
-
Thomas Camilleri, MSW, CSW
-
Stephanie Caudill, APRN
-
Jarrod Chase, LCSW
-
Meranda Katherine Collins, MSSW , CSW
-
Destiny Commodore, LCSW
-
Richard Blake Conley, LCSW
-
Amanda L Crabtree, PSY.D.
-
Laura Marie De la Torre, APRN
-
Adam Dickson, LPCC
-
Tabitha Jeanann Fleenor, APRN
-
Margaret Elaine Fox, CSW
-
Nancy Leigh Gilmer, LPCC
-
Katherine Jean Harris, LPCA
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
Locations
110 Roach St
Georgetown, KY 40324
Phone (502) 863-4734
1351 Newtown Pike
Lexington, KY 40511
Phone (859) 233-0444
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
1351 Newtown Pike
BLDG 5
Lexington, KY 40511-1275
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1275
Phone (859) 253-1686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091018 | Other | KY | VALUE OPTIONS |
| 000000057414 | Other | KY | ANTHEM |
| 28015014 | Medicaid | KY | |
| 203628000 | Other | KY | MAGELLAN 221 |
| 101483 | Other | KY | CHA INSURANCE |
| 27015015 | Medicaid | KY | |
| 29000003 | Medicaid | KY | |
| 33900119 | Medicaid | KY | |
| 242395 | Other | KY | COMPSYCH |
| 207023 | Other | KY | MHN |
| 30615058 | Medicaid | KY | |
| 874068 | Other | KY | USA |
Other names
- BLUEGRASS.ORG INC
Other providers in Lexington, KY
- New Normal
- New Step Therapy
- New Tanbark Health Care Center, LLC
- New Vista Behavioral Healthcare Inc.
- New Vista Behavioral Healthcare Inc.
- New Vista of the Bluegrass Inc
- New Vista of the Bluegrass Inc
- New Vista of the Bluegrass Inc
- New Vista of the Bluegrass Inc
- New Vista of the Bluegrass Inc
All providers in Lexington, 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.