Organization Active NPI

Recovery Behavioral Healthcare LLC

Doing business as Centex

  • Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1639429731
Registry record updated Sep 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RECOVERY BEHAVIORAL HEALTHCARE LLC
Doing business as
Centex
Practice address
4312 Old Scioto TRL
Portsmouth, OH 45662-6642
Phone
(859) 236-7913
NPI assigned
Sep 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2012

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

Authorized official

Name
Jamie Durham, MANAGING MEMBER
Title
Managing Member
Phone
(859) 605-6390

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4312 Old Scioto TRL
Portsmouth, OH 45662-6642

Mailing address

PO Box 1430
Frankfort, KY 40602-1430
Phone (502) 226-3858

Other names 1

  • Centex Doing business as

National Provider Directory

National Provider Directory

Locations

4312 Old Scioto Trl
Portsmouth, OH 45662
Phone (740) 351-9298

NPI Registry JSON

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347753600000",
    "number": "1639429731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021430",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 OLD SCIOTO TRL",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626642",
            "telephone_number": "859-236-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-16",
        "last_updated": "2012-09-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-605-6390",
        "authorized_official_credential": "MANAGING MEMBER"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.