Bluegrass Behavioral Health Group, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BLUEGRASS BEHAVIORAL HEALTH GROUP, LLC

Doing business as

Cultivate Behavioral Health and Education

Practice address

925 Dudley Pike
Edgewood, KY 41017-8120

Phone

(859) 360-3006

Fax

(859) 360-3053

NPI assigned

Feb 13, 2017

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CULTIVATE BEHAVIORAL MANAGEMENT CORPAs reported in NPPES

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

Authorized official

Name

Jonathon Curlett

Title

Cfo

Phone

(469) 955-1099

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Cultivate Behavioral Health and Education Doing business as

Locations (25 of 26)

Practitioners 164

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.

• Ian Aiuto, CSW

  • Clinical Social Worker
  • Edgewood, KY
  • NPI 1477187219
  NPD
• Amy Jo Blair, BCBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1023667284
  NPD
• Megan Nicole Bosma, BCABA

  • Assistant Behavior Analyst
  • Edgewood, KY
  • NPI 1588279186
  NPD
• Tayler Marie Burns

  • Behavior Technician
  • Edgewood, KY
  • NPI 1255901419
  NPD
• Stephanie Cunningham, BCBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1154946929
  NPD
• Kristen Danks, BCBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1033712088
  NPD
• Remy Defilippo, BCBA, LBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1568032753
  NPD
• Mackenzi Dickerson

  • Behavior Technician
  • Edgewood, KY
  • NPI 1134799927
  NPD
• Tia Marie Fonseca

  • Behavior Technician
  • Edgewood, KY
  • NPI 1780348516
  NPD
• Megan Hassler, BCBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1265076673
  NPD
• Stefanie Jean Hunter-Hammonds, MA, BCBA, KY LBA

  • Behavior Analyst
  • Edgewood, KY
  • NPI 1548846876
  NPD
• Nailah Amani Johnson, RBT

  • Behavior Technician
  • Edgewood, KY
  • NPI 1184297970
  NPD

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1952840860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 HILL COUNTRY BLVD STE R-100",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386748",
            "telephone_number": "512-772-4042",
            "fax_number": "512-842-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DUDLEY PIKE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410178120",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Windsor Path Ste 1",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249819",
            "country_code": "US",
            "telephone_number": "859-559-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Liberty Bank Ln Ste And240",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225756",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Daniel Boone Dr",
            "address_purpose": "LOCATION",
            "city": "Barbourville",
            "state": "KY",
            "postal_code": "409061167",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E Mount Vernon St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425011412",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Dennis Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032988",
            "country_code": "US",
            "telephone_number": "859-559-6044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1374 Highway 192 E",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407413123",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Corporate Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320732853",
            "country_code": "US",
            "telephone_number": "904-385-9241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1374 Highway 192 E",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407413123",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 E Mount Vernon St",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425011412",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "334 Beechwood Rd # 502",
            "address_purpose": "LOCATION",
            "city": "Ft Mitchell",
            "state": "KY",
            "postal_code": "410171611",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Ashley Cir",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421043338",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "fax_number": "859-360-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23825 Commerce Park Ste B",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225837",
            "country_code": "US",
            "telephone_number": "859-360-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUEGRASS BEHAVIORAL HEALTH GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CULTIVATE BEHAVIORAL MANAGEMENT CORP",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "CURLETT",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-955-1099"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100446170",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivate Behavioral Health and Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristie L Blanchet
• Brittany Jean Blankenship, APRN
• April Bleecker, RBT
• Jennifer Marie Bleser, CRNA
• Deborah Elaine Bliss, ACNP
• Jayne Bodenbach, APRN
• Kathy Ann Boehmer, PT
• Perry Kent Bohanon, MSN, APRN, BC
• James R Bohrer, CRNA
• Callie Nicole Bolling, RBT

• Behavior Analyst in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.