Organization Active NPI

Mediation & Counseling Center of Western Kentucky, Inc.

  • Community/Behavioral Health Agency
  • Owensboro, KY
National Provider Identifier
1588085799
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Dec 16, 2013

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, CPCNPI 1013348390
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.