Children's Home Of Northern Kentucky | |
200 Home Rd Covington KY 41011 | |
(859) 261-8768 | |
(859) 291-2431 |
Full Name | Children's Home Of Northern Kentucky |
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Speciality | Community/Behavioral Health |
Location | 200 Home Rd, Covington, Kentucky |
Authorized Official Name and Position | Julie Raia (CHIEF STRATEGY OFFICER) |
Authorized Official Contact | 8592924162 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Children's Home Of Northern Kentucky 200 Home Rd Covington KY 41011-1942 Ph: (859) 261-8768 | Children's Home Of Northern Kentucky 200 Home Rd Covington KY 41011 Ph: (859) 261-8768 |
NPI Number | 1386979615 |
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Provider Enumeration Date | 10/05/2009 |
Last Update Date | 01/28/2023 |
Certification Date | 01/28/2023 |
Medicare PECOS PAC ID | 0143664102 |
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Medicare Enrollment ID | O20240216004297 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386979615 | NPI | - | NPPES |
7100326190 | Medicaid | KY | |
7100505420 | Medicaid | KY |
Provider Name | Jason Cox |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215582564 PECOS PAC ID: 4688018534 Enrollment ID: I20240219002192 |
Provider Name | Alison Griess |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508642166 PECOS PAC ID: 8325482110 Enrollment ID: I20240220003957 |
Provider Name | Bret Olson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467108688 PECOS PAC ID: 0143665554 Enrollment ID: I20240226001096 |
Provider Name | Crystal Leugers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184008757 PECOS PAC ID: 5698119659 Enrollment ID: I20240229000662 |
Provider Name | Suzanne L Glasenapp |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285969444 PECOS PAC ID: 6800231747 Enrollment ID: I20240229004078 |
Provider Name | Bethany Wilson |
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Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1417324278 PECOS PAC ID: 9335584093 Enrollment ID: I20240304003115 |
Provider Name | Jaclyn M Gleason |
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Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1811436165 PECOS PAC ID: 5799121208 Enrollment ID: I20240306004078 |
Provider Name | Karey Angela Cooper |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114675170 PECOS PAC ID: 0840636767 Enrollment ID: I20240313002360 |
Provider Name | Kara Pangburn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316621998 PECOS PAC ID: 5991141608 Enrollment ID: I20240315001171 |
Provider Name | Adam W Roland |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780254813 PECOS PAC ID: 9931546660 Enrollment ID: I20240318001542 |
Provider Name | Rachel M Byrd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861063588 PECOS PAC ID: 4587001664 Enrollment ID: I20240325002901 |
Provider Name | Kesha Mcclure-hunley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1992126700 PECOS PAC ID: 6901243864 Enrollment ID: I20240327001903 |
Provider Name | Kilee Weiskittel |
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Provider Type | Practitioner - Other (non-physician) |
Provider Identifiers | NPI Number: 1134739295 PECOS PAC ID: 8022450253 Enrollment ID: I20240520002843 |
Provider Name | Hannah Burkhardt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477291599 PECOS PAC ID: 7719329382 Enrollment ID: I20240528003126 |
Provider Name | Christine N Hickey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700655545 PECOS PAC ID: 6608318118 Enrollment ID: I20240611003302 |
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