Therapeutic Collaborative

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THERAPEUTIC COLLABORATIVE

Practice address

519 Licking Pike
Wilder, KY 41071

Phone

(859) 572-0400

Fax

(859) 442-3363

NPI assigned

Jan 24, 2007

Last updated

Jun 17, 2011By 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. Virginia Ellen Peppers, ARNP BC

Title

Partner

Phone

(859) 572-0400

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• James Adam Eppley, M.D.

  • Child & Adolescent Psychiatry Physician
  • Batavia, OH
  • NPI 1033108006
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1629123443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LICKING PIKE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41071",
            "telephone_number": "859-572-0400",
            "fax_number": "859-442-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LICKING PIKE",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41071",
            "telephone_number": "859-572-0400",
            "fax_number": "859-442-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "859-572-0400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928897",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Spears
• Thomas Gregory Stadler, PT
• Petina Rachelle Strickley, CSW, MSW
• Sally J Sweeney
• Joann M Terry, P.T.
• Therapeutic Collabortive
• Meredith Thornton, BA
• True Providers Inc
• Dorothy Marie Vanhuss, LMT
• Kathryn O Voorhees, LCSW

• Adolescent and Children Mental Health Clinic/Center in Wilder, KY
• Providers in Wilder, KY by specialty
• Adolescent and Children Mental Health Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.