Kentucky Behavioral Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KENTUCKY BEHAVIORAL HEALTH LLC

Practice address

698 Fawn Valley Rd
Corbin, KY 40701-7473

Phone

(606) 383-0780

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Alex Jones

Title

Administration

Phone

(606) 383-0780

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1669238903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407020976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 FAWN VALLEY RD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017473",
            "telephone_number": "606-383-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "606-383-0780"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Sue Kauffman, RNC, MSN
• William A Keck III, R.PH.
• William Matthew Keene, LCSW
• Keep Your Heart at Home LLC
• Margaret A Keller, OTR/L
• Kentucky Doctors of Audiology
• Kentucky Family Medicine
• Kentucky Family Medicine
• Kentucky Institute for Eye Health & Surgery
• Kentucky Institute for Eye Health & Surgery

• Mental Health Counselor in Corbin, KY
• Providers in Corbin, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.