ML Cantrell Psychotherapeutic Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYPPR00193411 Issued in KY

Legal business name

ML CANTRELL PSYCHOTHERAPEUTIC SERVICES, PLLC

Practice address

1219 W Main St
West Liberty, KY 41472-2161

Phone

(606) 743-2407

NPI assigned

Aug 14, 2014

Last updated

Aug 14, 2014By 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

Ms. Mary Lou Cantrell, MA, LPPNPI 1215973862

Title

Sole Owner

Phone

(606) 743-2407

Specialties & licenses 1

Addresses

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.

• Mary Lou Cantrell, M.A., LPP

  • Psychologist
  • West Liberty, KY
  • NPI 1215973862
  NPD (past) Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1467851667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 191",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414728315",
            "telephone_number": "606-743-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 W MAIN ST",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414722161",
            "telephone_number": "606-743-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ML CANTRELL PSYCHOTHERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "606-743-2407",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "PSYPPR00193411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Keaton Mattingly, RPH
• Sandra K McClure, APRN
• Brittany McCraw
• Lee Ann McKenzie
• Misfits Collective Counseling LLC
• Morgan Central Elementary
• Morgan Co High School
• Morgan Co Middle School
• Morgan County Ambulance Taxing District
• Morgan County Board of Education

• Clinical Psychologist in West Liberty, KY
• Providers in West Liberty, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.