NPIMap

Organization Active NPI

Lake Cumberland Regional MHMR Board Outpatient

  • Community/Behavioral Health Agency
  • Somerset, KY
National Provider Identifier
1992831713
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKE CUMBERLAND REGIONAL MHMR BOARD OUTPATIENT
Practice address
130 Southern School Rd
Somerset, KY 42501-3223
Phone
(606) 679-4782
Fax
(606) 678-5296
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Jack Lewis
Title
HR Director
Phone
(606) 679-4782

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

130 Southern School Rd
Somerset, KY 42501-3223

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other names 1

  • The Adanta Group Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake Cumberland Regional MHMR Board Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

521 Old Hodgenville Rd
Greensburg, KY 42743
Phone (270) 932-3226

163 Herriford Curv Rd
Jamestown, KY 42629

119 Herrifords Cir
Jamestown, KY 42629
Phone (270) 343-2551

Practitioners & affiliated clinicians

Practitioners 240

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 240

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1992831713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CUMBERLAND REGIONAL MHMR BOARD OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "606-679-4782"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Adanta Group Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2013; 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.