Journeypure Paducah

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

JOURNEYPURE PADUCAH

Practice address

3229 Coleman Rd
Paducah, KY 42001-6563

Phone

(270) 205-8895

NPI assigned

Feb 9, 2018

Last updated

Feb 9, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

JOURNEYPURE LLCAs reported in NPPES

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

Authorized official

Name

Kevin Lee

Title

President & Ceo

Phone

(615) 973-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Linly Evan Calixte, LPCC

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1073006649
  NPD (past)
• Emma Caroline Mattingly, M.ED., LPCC

  • Counselor
  • Paducah, KY
  • NPI 1326606559
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1538668157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 FLORENCE RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292922",
            "telephone_number": "615-907-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 COLEMAN RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016563",
            "telephone_number": "270-205-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYPURE PADUCAH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEYPURE LLC",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "615-973-3500"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Ray Jones
• Treyvon Demell Jones
• Weston Gerard Jones, PT
• Andrea Kay Jordan, RN
• Beth N Jordan, M.ED.; LPCC
• Joshua Craig Joyce, M.D.
• Julie Kraus Hideg PSYD and Associates PLLC (Psychological Associates of Paducah, Inc)
• Ashley Ann Kahler, MS, BCBA
• Travis Wade Kahre, DC
• Kaleidoscope Therapeutic Services

• Substance Abuse Rehabilitation Facility in Paducah, KY
• Providers in Paducah, KY by specialty
• Substance Abuse Rehabilitation Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.