NPIMap

Organization Active NPI

Access Wellness Group

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1437449451
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ACCESS WELLNESS GROUP
Practice address
2401 Regency Rd
Suite 101
Lexington, KY 40503-2914
Phone
(859) 309-0309
Fax
(859) 309-0914
NPI assigned
Apr 11, 2011
Last updated
Feb 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
William Nolan, LMFTNPI 1073632782
Title
President
Phone
(859) 309-0309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X KY
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X KY Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X KY

Addresses

Primary practice location

2401 Regency Rd
Suite 101
Lexington, KY 40503-2914

Mailing address

2401 Regency Rd
Suite 101
Lexington, KY 40503-2914
Phone (859) 309-0309

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000338 KY Part B Supplier - Clinic/Group Practice 2668630641 Receives reassigned benefits from 15 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

2401 Regency Rd
Ste 101
Lexington, KY 40503
Phone (859) 309-0309

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1437449451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 REGENCY RD",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032914",
            "telephone_number": "859-309-0309",
            "fax_number": "859-309-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 REGENCY RD",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032914",
            "telephone_number": "859-309-0309",
            "fax_number": "859-309-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-309-0309",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.