Grace Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

GRACE BEHAVIORAL HEALTH LLC

Practice address

100 W 3Rd St Ste 305
Owensboro, KY 42303-4129

Phone

(270) 240-2320

Fax

(270) 228-0573

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Amber Survant, APRNNPI 1407371289

Title

Owner

Phone

(270) 240-2320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amber Survant

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1407371289
  Medicare reassignment Care Compare group NPD Authorized official
• Monica Johnson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1679826143
  Medicare reassignment Care Compare group NPD
• Jessica Gayle McFarling, LCSW

  • Clinical Social Worker
  • Owensboro, KY
  • NPI 1518213008
  NPD

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1629577622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034129",
            "telephone_number": "270-240-2320",
            "fax_number": "270-228-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034129",
            "telephone_number": "270-240-2320",
            "fax_number": "270-228-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "SURVANT",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-240-2320",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C. Good, M.D.
• Sarah Jean Goodman
• Namita R Gopal, M.D.
• Catherine Hawes Gordon, PHARMD
• Aaron Charisse Gough, LPCC
• Chandler Grace, CCC-SLP
• Summer Grady
• David S Graham, MD
• Lisa Faye Graham, RPH
• Kelly Gray

• Psychiatric/Mental Health Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.