Organization Active NPI

Ensite, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Paducah, KY
National Provider Identifier
1467848416
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ENSITE, LLC
Practice address
611 Broadway St
Paducah, KY 42001-6869
Phone
(270) 443-1201
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Randall W Durbin
Title
Owner
Phone
(270) 443-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IL Primary

Addresses

Primary practice location

611 Broadway St
Paducah, KY 42001-6869

Mailing address

611 Broadway St
Paducah, KY 42001-6869
Phone (270) 443-1201

National Provider Directory

National Provider Directory

Locations

611 Broadway St
Paducah, KY 42001
Phone (270) 443-1201

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1467848416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016869",
            "telephone_number": "270-443-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016869",
            "telephone_number": "270-443-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSITE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-443-1201"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.