Bluegrass Behavioral Health Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLUEGRASS BEHAVIORAL HEALTH SERVICES LLC

Practice address

527 Marsailles Rd Ste 3
Versailles, KY 40383-1911

Phone

(859) 251-4353

Fax

(859) 251-4253

NPI assigned

Jul 17, 2020

Last updated

Apr 1, 2021By 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

Toccara C Coleman

Title

Billing Specialist

Phone

(859) 251-4353

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1700494598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 S STOURBRIDGE RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403832001",
            "telephone_number": "859-494-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MARSAILLES RD STE 3",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831911",
            "telephone_number": "859-251-4353",
            "fax_number": "859-251-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "TOCCARA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "859-251-4353"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71006679420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Basore, LPCA
• Kimberly Menique Bentley, FNP-BC
• Staci Bhalodi, PA-C
• Dewey Levearn Binns II
• Simon Peter Bitz, D.C.
• Bluegrass Partners in Health, PSC
• Morgan Brooke Boian, OD
• Katherine Bollinger, PA-C
• Kimberly Jewell Bostic
• Connie Boyce

• Psychiatric/Mental Health Nurse Practitioner in Versailles, KY
• Providers in Versailles, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.