|
| |
|
230 Lexington Green Cir Ste 420 Lexington KY 40503-3337 | |
| (859) 287-0760 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 230 Lexington Green Cir Ste 420, Lexington, Kentucky |
| Authorized Official Name and Position | Virginia Marie Steelman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (859) 287-0760 | 230 Lexington Green Cir Ste 420 Lexington KY 40503-3337 Ph: (859) 287-0760 |
| NPI Number | 1689449910 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 5092120030 |
|---|---|
| Medicare Enrollment ID | O20240328002673 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689449910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Heather R Auton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770520157 PECOS PAC ID: 3577588110 Enrollment ID: I20051012000627 |
| Provider Name | Adam N Brickler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174700470 PECOS PAC ID: 1658458112 Enrollment ID: I20080408000436 |
| Provider Name | Heather W Randolph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861659302 PECOS PAC ID: 0345300554 Enrollment ID: I20081118000553 |
| Provider Name | Sheldon L Levinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497748099 PECOS PAC ID: 0840349056 Enrollment ID: I20090519000116 |
| Provider Name | Sarah C Davenport |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275866394 PECOS PAC ID: 3779763446 Enrollment ID: I20120727000077 |
| Provider Name | Robin L Sublett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578724548 PECOS PAC ID: 2062728165 Enrollment ID: I20150903002873 |
| Provider Name | Anne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174061675 PECOS PAC ID: 7416226733 Enrollment ID: I20170629002836 |
| Provider Name | Rachel Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114236809 PECOS PAC ID: 1456697515 Enrollment ID: I20190109003443 |
| Provider Name | Byron White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790777357 PECOS PAC ID: 5890128219 Enrollment ID: I20191125002622 |
| Provider Name | Lauren E Moss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346882826 PECOS PAC ID: 6507299930 Enrollment ID: I20191125003152 |
| Provider Name | Kyle Dennison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790155968 PECOS PAC ID: 4981049855 Enrollment ID: I20240301000587 |
| Provider Name | Erika Boland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780464602 PECOS PAC ID: 6800332495 Enrollment ID: I20240718004039 |
| Provider Name | Letitia Shirley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922399302 PECOS PAC ID: 6204372865 Enrollment ID: I20240719001756 |
| Provider Name | Lindsey Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205466083 PECOS PAC ID: 2163963075 Enrollment ID: I20240919000169 |
| Provider Name | Karly Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558071142 PECOS PAC ID: 0648711572 Enrollment ID: I20240919000838 |
| Provider Name | Janice Higgins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508209016 PECOS PAC ID: 2567903974 Enrollment ID: I20240925000293 |
| Provider Name | Joshua Turner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073862173 PECOS PAC ID: 2860924255 Enrollment ID: I20241009004288 |
| Provider Name | Allison Wittum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619605284 PECOS PAC ID: 0042742678 Enrollment ID: I20241021001149 |
| Provider Name | Leslie Delgado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447362124 PECOS PAC ID: 8527402270 Enrollment ID: I20241213002098 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
Verbal Behavior Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Strader Dr Ste 150, Lexington, KY 40505 Phone: 859-899-9200 Fax: 859-899-9202 | |
Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |