Resurrection Treatment Clinics LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

RESURRECTION TREATMENT CLINICS LLC

Practice address

1718 Alexandria Dr
Suite 101
Lexington, KY 40504-3144

Phone

(859) 983-0678

Fax

(859) 263-1312

NPI assigned

Nov 2, 2015

Last updated

Oct 9, 2024By 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

Lawrence York

Title

Owner

Phone

(859) 276-1015

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 12

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.

• Megan B Begley, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1124312780
  Medicare reassignment NPD
• Victoria Lynn Ewing, LCSW

  • Clinical Social Worker
  • Morehead, KY
  • NPI 1659420768
  Medicare reassignment NPD
• Lisa G Highland, APRN

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1053757591
  Medicare reassignment NPD
• Crystal Jane Humphries, APRN

  • Family Nurse Practitioner
  • Lexington, KY
  • NPI 1962929307
  Medicare reassignment NPD
• Linda Russell, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1376934869
  Medicare reassignment NPD
• Natalie Tudor

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1619640133
  Medicare reassignment NPD
• Jill Webb Patterson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, IN
  • NPI 1235114877

  KY

  Medicare reassignment NPD
• John E. Pappas, M.D.

  • Internal Medicine Physician
  • Pikeville, KY
  • NPI 1922219294
  Medicare reassignment
• Michael W Lowe, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
  • NPI 1871351163
  NPD
• Lauren Mackenzie Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1922446210
  NPD
• David Thomas, LCADC

  • Counselor
  • Lexington, KY
  • NPI 1225492762

  Addiction (Substance Use Disorder)

  NPD (past)
• Amy Lynn McIntyre, APRN

  • Family Nurse Practitioner
  • Portsmouth, OH
  • NPI 1699138933
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1548633415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST STE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-962-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 ALEXANDRIA DR",
            "address_2": "SUITE 101",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043144",
            "telephone_number": "859-983-0678",
            "fax_number": "859-263-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURRECTION TREATMENT CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-276-1015"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100382530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Restore 35
• Restore Health Ky Inc
• Resurgence Counseling Center, LLC
• Retina and Vitreous Associates of Kentucky PLLC (Retina Associates of Kentucky)
• Ellen Marie Reusch
• Catalina Marie Reusche, MD
• Nicholas Joseph Reuss, M.S., A.T.C., CKTP
• Daniela Reuter, RBT

• Addiction Medicine (Internal Medicine) Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Addiction Medicine (Internal Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.