Active NPI
Mended Counseling & Trauma Services LLC
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1932863073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MENDED COUNSELING & TRAUMA SERVICES LLC
- Practice address
- 824 Euclid Ave Ste A102
Lexington, KY 40502-1785 - Phone
- (859) 338-0006
- NPI assigned
- Oct 25, 2021
- 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
- Jessie Dayton
- Title
- Owner
- Phone
- (859) 429-0860
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
824 Euclid Ave Ste A102
Lexington, KY 40502-1785
Mailing address
824 Euclid Ave Ste A102
Lexington, KY 40502-1785
Other practice location 1
1077 E Lexington Ave
Danville, KY 40422-1766
Phone (859) 365-0184
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100722810 | Medicaid | KY | |
| 1962229856 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220920003232 | KY | Part B Supplier - Clinic/Group Practice | 8325423742 |
Receives reassigned benefits from 10 practitioners Practice locations: Danville, KY; Lexington, KY |
National Provider Directory
National Provider Directory- Tax ID family
- Mended Counseling Trauma Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Lexington, KY
- NPI 1013508191
Locations
824 Euclid Ave
Ste 102
Lexington, KY 40502
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lancaster, KY
- NPI 1043911803
KY
-
- Psychiatric/Mental Health Nurse Practitioner
- Lexington, KY
- NPI 1912386418
KY
-
- Psychiatric/Mental Health Nurse Practitioner
- Lawrenceburg, KY
- NPI 1962229856
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1932863073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 EUCLID AVE STE A102",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 EUCLID AVE STE A102",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405021785",
"telephone_number": "859-338-0006"
}
],
"practiceLocations": [
{
"address_1": "1077 E Lexington Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "KY",
"postal_code": "404221766",
"country_code": "US",
"telephone_number": "859-365-0184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MENDED COUNSELING & TRAUMA SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "DAYTON",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "859-429-0860"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100722810",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1962229856",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.