Active NPI
Mediation & Counseling Center of Western Kentucky, Inc.
- Community/Behavioral Health Agency
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MEDIATION & COUNSELING CENTER OF WESTERN KENTUCKY, INC.
- Practice address
- 2400 Friendship Dr Ste B
2400 Friendship Drive, Suite B
Owensboro, KY 42303-3011 - Phone
- (270) 852-6516
- Fax
- (270) 683-9771
- NPI assigned
- Dec 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Lee Baize Sr., M.PSYCH., CCCT, CPC
- Title
- President/Ceo
- Phone
- (270) 852-6516
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | KY | Primary |
Addresses
Primary practice location
2400 Friendship Dr Ste B
2400 Friendship Drive, Suite B
Owensboro, KY 42303-3011
Mailing address
2400 Friendship Dr Ste B
Ronald Logsdon Community Center at Presidents Place
Owensboro, KY 42303-3011
Phone (270) 852-6516
National Provider Directory
National Provider DirectoryLocations
2400 Friendship Dr
Ste B
Owensboro, KY 42303
Phone (270) 852-6516
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Owensboro, KY
- NPI 1013348390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1588085799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 FRIENDSHIP DR STE B",
"address_2": "RONALD LOGSDON COMMUNITY CENTER AT PRESIDENTS PLACE",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033011",
"telephone_number": "270-852-6516",
"fax_number": "270-683-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 FRIENDSHIP DR STE B",
"address_2": "2400 FRIENDSHIP DRIVE, SUITE B",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423033011",
"telephone_number": "270-852-6516",
"fax_number": "270-683-9771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIATION & COUNSELING CENTER OF WESTERN KENTUCKY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A",
"authorized_official_last_name": "BAIZE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "270-852-6516",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "M.PSYCH., CCCT, CPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.