Presbyterian Child Welfare Agency

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PRESBYTERIAN CHILD WELFARE AGENCY

Practice address

116 Buckhorn LN
Buckhorn, KY 41721-8987

Phone

(606) 398-7000

Fax

(606) 398-7912

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mitch Smith

Title

Cfo

Phone

(606) 398-7000

Specialties & licenses 6

Addresses

Other identifiers 7

Other names 1

• Buckhorn Children and Family Services Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

Buckhorn Children and Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Presbyterian Child Welfare Agency

  • Community/Behavioral Health Agency
  • Buckhorn, KY
  • NPI 1013397173
  NPD tax ID
• Presbyterian Child Welfare Agency, Inc

  • Substance Abuse Rehabilitation Facility
  • Buckhorn, KY
  • NPI 1386318616
  NPD tax ID

Practitioners 2

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

• Roger Dean Coleman, LCSW

  • Clinical Social Worker
  • Pikeville, KY
  • NPI 1609880822
  Medicare reassignment NPD
• Kristy Tarter, LPCC

  • Mental Health Counselor
  • Somerset, KY
  • NPI 1316227408
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1811029176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUCKHORN LN",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "417218987",
            "telephone_number": "606-398-7000",
            "fax_number": "606-398-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BUCKHORN LN",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "417218987",
            "telephone_number": "606-398-7000",
            "fax_number": "606-398-7912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425014150",
            "country_code": "US",
            "telephone_number": "606-679-0190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8699 S US Highway 25",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407014973",
            "country_code": "US",
            "telephone_number": "606-526-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1355 CEDAR POINT RD",
            "address_purpose": "LOCATION",
            "city": "BUCKHORN",
            "state": "KY",
            "postal_code": "41721",
            "country_code": "US",
            "telephone_number": "606-398-5077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRESBYTERIAN CHILD WELFARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-08-13",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "606-398-7000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "552",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "KY",
            "license": "097123960(1)",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "KY",
            "license": "097122583(2)",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100258860",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100258880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY OIG  - OUTPATIENT AODE",
            "identifier": "810858",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY OIG - OUTPATIENT AODE",
            "identifier": "810859",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04097010",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12394",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04097028",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhorn Children and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kentucky River District Health Department
• Mountain Comprehensive Health Corporation
• Mountain Comprehensive Health Corporation
• My Turning Point, LLC
• Presbyterian Child Welfare Agency
• Presbyterian Child Welfare Agency, Inc
• Gary W. Turner, MD
• Peter Turner
• Valerie Hope Turner, LMT, MMP

• Community/Behavioral Health Agency in Buckhorn, KY
• Providers in Buckhorn, KY by specialty
• Community/Behavioral Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.