Lake Cumberland Therapy Center, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKE CUMBERLAND THERAPY CENTER, INC.

Practice address

153 High Street
Monticello, KY 42633

Phone

(606) 219-3155

Fax

(606) 348-7241

NPI assigned

Sep 13, 2019

Last updated

Nov 4, 2019By 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

Jennfier Annette Baker

Title

President/Developmental Therapist

Phone

(606) 219-3155

Specialties & licenses 3

Addresses

Locations

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.

• Amy Elizabeth Clark, SLP

  • Speech-Language Pathologist
  • Monticello, KY
  • NPI 1881818656
  NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1639729460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HIGH STREET",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-219-3155",
            "fax_number": "606-348-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 HIGH STREET",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-219-3155",
            "fax_number": "606-348-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JENNFIER",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT/DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "606-219-3155"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland District Health Dept (Wayne County Early Childhood Center)
• Lake Cumberland District Health Dept (Monticello Elementary School)
• Lake Cumberland District Health Dept (Wayne Middle School)
• Lake Cumberland District Health Dept (Monticello Middle School)
• Lake Cumberland Pediatrics PLLC
• Patricia Leigh, LPCC
• Joleen Nyesa Levering
• Veronica Little
• Ashley Lockridge, APRN
• London Valu Rite Pharmacy, Inc (South Creek Drug)

• Speech-Language Pathologist in Monticello, KY
• Providers in Monticello, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.