Larry C Talbert

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1192511 Issued in KY

Practice address

1365 Devonport Dr
Lexington, KY 40504-1552

Phone

(859) 309-2240

NPI assigned

Sep 13, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tracys Residential Re Entry Center Inc

  • Professional Counselor
  • Lexington, KY
  • NPI 1932823929
  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1861114191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041552",
            "telephone_number": "859-309-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 DEVONPORT DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041552",
            "telephone_number": "859-309-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "LARRY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1192511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192511",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Larry.Lct@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1193 Briarwood Dr",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405111138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Muhammad Waqas Tahir, MBBS
• Hiffsa Sohail Taj, MD
• Patricia E. Takacs, DMD
• Roland Talanow, M.D., PH.D.
• Cheryl Lewis Talbert, DSW, LCSW
• Timothy Scott Talbot, MD
• Usama Talib, MD
• Joshua Tallent, MD
• Kristen Talley, RDN, LD
• Debora Gail Tallio, M.D.

• Peer Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.