NPIMap

Organization Active NPI

Mended Counseling & Trauma Services LLC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1932863073
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Jessie DaytonNPI 1043753296
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

824 Euclid Ave
Ste 102
Lexington, KY 40502

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

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": [],
    "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.

Verify at the official NPI Registry.