Kentucky River Foothills Development Council, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

700260 Issued in KY

Legal business name

KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.

Doing business as

Foothills Health and Wellness Center

Practice address

108 12TH St
Clay City, KY 40312-8979

Phone

(606) 663-9011

Fax

(606) 663-9012

NPI assigned

Jan 25, 2012

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Estepp

Title

Chief Executive Officer

Phone

(606) 624-2046

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Foothills Health and Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366713000. Details of each certification follow.

• CCN 181987 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 181987

Legal name

KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.

Doing business as

FOOTHILLS HEALTH AND WELLNESS CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 28, 2016

Last certification

Oct 28, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Oct 22, 1962 in KY

Enrollment address

108 12TH St
Clay City, KY 40312-8979

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kentucky River Foothills Development Council, Inc.

  dba Foothills Behavioral Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Irvine, KY
  • NPI 1346874054

  6507861945

  Same PAC ID

Locations

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 12

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.

• Audreanna Barnett, APRN

  • Nurse Practitioner
  • Clay City, KY
  • NPI 1285360511
  Medicare reassignment Care Compare group NPD
• Gari Michelle Kiser, APRN

  • Family Nurse Practitioner
  • Clay City, KY
  • NPI 1437419827
  Medicare reassignment Care Compare group NPD
• Sean Travis Marshall, CSW

  • Social Worker
  • Richmond, KY
  • NPI 1710347752
  Medicare reassignment Care Compare group NPD
• Megan Elizabeth Burke, APRN

  • Family Medicine Physician
  • West Liberty, KY
  • NPI 1578188637
  Medicare reassignment NPD
• Lisa Dawn Finn, MD

  • Internal Medicine Physician
  • Richmond, KY
  • NPI 1740391408
  Medicare reassignment NPD
• Kimberly Renee Turpin-Rose, ARNP

  • Family Medicine Physician
  • Columbia, KY
  • NPI 1659883882
  Medicare reassignment NPD
• Chelsea Ruthanne Walker, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1760070205
  Medicare reassignment NPD
• Gwendolyn Lee Holder, LCADC, LPCA

  • Professional Counselor
  • Clay City, KY
  • NPI 1891368916
  NPD
• Andrea Beth Brooks, LPCC

  • Professional Counselor
  • Clay City, KY
  • NPI 1447427208
  NPD (past)
• Christina Busse

  • Registered Dietitian
  • Clay City, KY
  • NPI 1932578283
  NPD (past)
• Stacy Lynette Crase, R.D.

  • Registered Dietitian
  • Clay City, KY
  • NPI 1649317199
  NPD (past)
• Robert Taylor Slone, LPCC

  • Professional Counselor
  • Clay City, KY
  • NPI 1033466065
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1366713000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 ATWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758320",
            "telephone_number": "859-624-2046",
            "fax_number": "859-624-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 12TH ST",
            "city": "CLAY CITY",
            "state": "KY",
            "postal_code": "403128979",
            "telephone_number": "606-663-9011",
            "fax_number": "606-663-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 12th St",
            "address_purpose": "LOCATION",
            "city": "Clay City",
            "state": "KY",
            "postal_code": "403128981",
            "country_code": "US",
            "telephone_number": "606-663-9011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENTUCKY RIVER FOOTHILLS DEVELOPMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "ESTEPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "606-624-2046",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "KY",
            "license": "700260",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Estes, APRN, FNP-BC
• Sasha Flinchum
• Gwendolyn Lee Holder, LCADC, LPCA
• Jordan Drug, Inc. (Powell Prescription Center)
• Julie Renee Kennon, M.D.
• Kentucky River Foothills Development Council, Inc.
• Kentucky River Foothills Development Council, Inc.
• Kentuckyone Health Medical Group Inc (KentuckyOne Health Primary Care Associates)
• Gari Michelle Kiser, APRN
• Lab One of Ohio Inc (Quest Diagnostics)

• Federally Qualified Health Center (FQHC) in Clay City, KY
• Providers in Clay City, KY by specialty
• Federally Qualified Health Center (FQHC) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.