Organization Active NPI

Child Watch Counseling and Advocacy Center, Inc.

  • Community/Behavioral Health Agency
  • Paducah, KY
National Provider Identifier
1659418549
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILD WATCH COUNSELING AND ADVOCACY CENTER, INC.
Practice address
1118 Jefferson St
Paducah, KY 42001-1836
Phone
(270) 443-1440
Fax
(270) 443-1486
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Lena 'Lee' Emmons
Title
Executive Director
Phone
(270) 443-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X KY Primary

Addresses

Primary practice location

1118 Jefferson St
Paducah, KY 42001-1836

Mailing address

PO Box 1262
Paducah, KY 42002-1262
Phone (270) 443-1440

Other identifiers 1

IdentifierTypeStateIssuer
1300000500MedicaidKY

National Provider Directory

National Provider Directory

Locations

1118 Jefferson St
Paducah, KY 42001
Phone (270) 443-1440

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1659418549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1262",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420021262",
            "telephone_number": "270-443-1440",
            "fax_number": "270-443-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 JEFFERSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420011836",
            "telephone_number": "270-443-1440",
            "fax_number": "270-443-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD WATCH COUNSELING AND ADVOCACY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "EMMONS",
        "authorized_official_first_name": "LENA 'LEE'",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-443-1440"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300000500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.