Active NPI
Somerset Mental Health, PSC
- Community/Behavioral Health Agency
- Somerset, KY
National Provider Identifier
1891722146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
- Jun 26, 2006
- 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
- Ms. Jason M Thayer, LCSW
- Title
- Administrator
- Phone
- (606) 679-6995
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | KY | ||
| Community/Behavioral Health Agency | 251S00000X | 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29102217 | Medicaid | KY | |
| 7100190490 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040510000863 | KY | Part B Supplier - Clinic/Group Practice | 1254320716 |
Receives reassigned benefits from 9 practitioners Practice locations: Somerset, KY |
National Provider Directory
National Provider Directory- Tax ID family
- Ethas
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1023423449
-
- Social Worker
- Somerset, KY
- NPI 1730593203
-
- Clinical Social Worker
- Somerset, KY
- NPI 1831573732
Locations
116 Tradepark Dr
Ste 3
Somerset, KY 42503
Phone (606) 679-6995
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Somerset, KY
- NPI 1417612672
KY
-
- Social Worker
- Somerset, KY
- NPI 1386040335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486339200000",
"number": "1891722146",
"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": "2006-06-26",
"last_updated": "2017-02-06",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-679-6995",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29102217",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100190490",
"state": "KY"
}
],
"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 Feb 6, 2017; 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.