Aspire Behavioral Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

163595 Issued in KY

Legal business name

ASPIRE BEHAVIORAL THERAPY, LLC

Practice address

343 S Main St
Beaver Dam, KY 42320

Phone

(270) 228-2414

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Wendy Russell, LPCCNPI 1457760662

Title

Therapist

Phone

(270) 228-2414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Wendy Russell, LPCC

  • Mental Health Counselor
  • Beaver Dam, KY
  • NPI 1457760662
  NPD (past) Authorized official

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1669824744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423200292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "42320",
            "telephone_number": "270-228-2414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208957",
            "country_code": "US",
            "telephone_number": "270-256-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRE BEHAVIORAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "270-228-2414",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "163595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ability Center
• Kenneth Dwain Alford, DMD
• Jennifer D. Alsman, LCSW
• Millicent Marie Babbs, MD
• Beaver Dam Health Care Manor Inc
• Beaver Dam Nursing & Rehab Center, Inc
• Kimberly J Bivens, L.M.T.
• Bluegrass Family Dentistry, PLLC

• Mental Health Counselor in Beaver Dam, KY
• Providers in Beaver Dam, 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 Aug 8, 2018; 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.