NPIMap

Organization Active NPI

A New Start II, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Central City, KY
National Provider Identifier
1467823328
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
A NEW START II, LLC
Practice address
222 Phillip Stone Way
Central City, KY 42330
Phone
(866) 934-4611
Fax
(270) 754-3499
NPI assigned
Oct 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Dr. William Kelly Vincent, MD
Title
Administrator
Phone
(270) 754-3494

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 800186 KY
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 800186 KY
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 800186 KY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 800186 KY
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

222 Phillip Stone Way
Central City, KY 42330

Mailing address

222 Phillip Stone Way
Central City, KY 42330-1929
Phone (866) 934-4611

Other practice location 1

1601 W Everly Brothers Blvd Ste 1
Central City, KY 42330-2707
Phone (866) 934-4611

Other practice location 2

750 Salem Dr Ste C
Owensboro, KY 42303-7758
Phone (866) 934-4611

Other practice location 3

230 Madison Square Dr Ste C
Madisonville, KY 42431-2792
Phone (866) 934-4611

Other practice location 4

114 Franklin St
Henderson, KY 42420-3342
Phone (866) 934-4611

Other names 1

  • A New Start II, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181207001632 KY Part B Supplier - Clinic/Group Practice 6204170848 Receives reassigned benefits from 14 practitioners
Practice locations: Central City, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2101717A New Start II, LLC222 Phillip Stone Way, Central City, KY 42330ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1601 W Everly Brothers Blvd
Ste 1
Central City, KY 42330
Phone (866) 934-4611

750 Salem Dr
Ste C
Owensboro, KY 42303
Phone (866) 934-4611

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1467823328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301929",
            "telephone_number": "866-934-4611",
            "fax_number": "270-754-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PHILLIP STONE WAY",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "42330",
            "telephone_number": "866-934-4611",
            "fax_number": "270-754-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Everly Brothers Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Central City",
            "state": "KY",
            "postal_code": "423302707",
            "country_code": "US",
            "telephone_number": "866-934-4611",
            "fax_number": "270-754-3499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Salem Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037758",
            "country_code": "US",
            "telephone_number": "866-934-4611",
            "fax_number": "270-691-0852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Madison Square Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312792",
            "country_code": "US",
            "telephone_number": "866-934-4611",
            "fax_number": "270-821-8973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424203342",
            "country_code": "US",
            "telephone_number": "866-934-4611",
            "fax_number": "270-754-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A NEW START II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-754-3494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "KY",
            "license": "800186",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "800186",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "800186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "800186",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A New Start II, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Central City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.