NPIMap

Organization Active NPI

Somerset Mental Health, PSC

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1831573732
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06202015 Issued in KY
Legal business name
SOMERSET MENTAL HEALTH, PSC
Practice address
149 Enterprise Dr
Somerset, KY 42501-6155
Phone
(606) 679-6995
Fax
(606) 451-9465
NPI assigned
Jul 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Mr. Jason Michael Thayer, LCSW
Title
Clinical Director
Phone
(606) 679-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 06202015 KY Primary

Addresses

Primary practice location

149 Enterprise Dr
Somerset, KY 42501-6155

Mailing address

149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995

National Provider Directory

National Provider Directory
Tax ID family
Ethas4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

149 Enterprise Dr
Somerset, KY 42501
Phone (606) 679-6995

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1831573732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET MENTAL HEALTH, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "606-679-6995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "06202015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.