NPIMap

Organization Active NPI

KVC Behavorial Healthcare

  • Clinical Social Worker
  • Prestonsburg, KY
National Provider Identifier
1740619931
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KVC BEHAVORIAL HEALTHCARE
Practice address
561 N Lake Dr
Prestonsburg, KY 41653-1278
Phone
(606) 216-4938
NPI assigned
Nov 7, 2013
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Danielle Russell, BSW
Title
FPP Specialist
Phone
(606) 216-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

561 N Lake Dr
Prestonsburg, KY 41653-1278

Mailing address

561 N Lake Dr
Prestonsburg, KY 41653-1278

National Provider Directory

National Provider Directory
Tax ID family
KVC Behavioral Healthcare Kentucky13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1740619931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531278",
            "telephone_number": "606-216-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVC BEHAVORIAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "FPP SPECIALIST",
        "authorized_official_telephone_number": "606-216-4938",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.