Active NPI
Easter Seals West Kentucky, Inc.
- Behavior Analyst
- Paducah, KY
National Provider Identifier
1720123870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- EASTER SEALS WEST KENTUCKY, INC.
- Practice address
- 619 N 30TH St
Paducah, KY 42001-4047 - Phone
- (270) 444-9687
- NPI assigned
- Feb 20, 2007
- Last updated
- Dec 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Henry
- Title
- Operations Manager
- Phone
- (270) 444-7898
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | Primary | ||
| Local Education Agency (LEA) | 251300000X | |||
| Medically Fragile Infants and Children Day Care | 261QM3000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
619 N 30TH St
Paducah, KY 42001-4047
Mailing address
801 N 29TH St
Paducah, KY 42001-4056
Other practice location 1
801 N 29th St
Paducah, KY 42001-4056
Phone (270) 444-9687
Other practice location 2
1908 N 14th St
Paducah, KY 42001-2439
Phone (270) 443-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720123870. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 186500
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EASTER SEALS WEST KENTUCKY INC
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Jun 2, 1977
- Last certification
- May 31, 2018
- Ownership / control type
- Voluntary Non-Profit Other Than Church
- Facility address
- 801 North 29TH Street
Paducah, KY 42001
National Provider Directory
National Provider Directory- Tax ID family
- Easter Seals West Kentucky
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Benton, KY
- NPI 1114192168
-
- Adult Day Care Clinic/Center
- Paducah, KY
- NPI 1164447124
-
- Developmentally Disabled Services Day Training Agency
- Paducah, KY
- NPI 1427174408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734393600000",
"number": "1720123870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N 29TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 N 30TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014047",
"telephone_number": "270-444-9687"
}
],
"practiceLocations": [
{
"address_1": "801 N 29th St",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420014056",
"country_code": "US",
"telephone_number": "270-444-9687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1908 N 14th St",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420012439",
"country_code": "US",
"telephone_number": "270-443-1200",
"fax_number": "270-444-0655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EASTER SEALS WEST KENTUCKY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "270-444-7898"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.