|
| |
|
214 Breckenridge Ln Ste 114 Louisville KY 40207-3868 | |
| (502) 653-7211 | |
| (502) 416-0723 |
| Full Name | |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 214 Breckenridge Ln Ste 114, Louisville, Kentucky |
| Authorized Official Name and Position | Jodi Bessinger (OWNER THERAPIST) |
| Authorized Official Contact | 5026537211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
214 Breckenridge Ln Ste 114 Louisville KY 40207-3868 Ph: (502) 653-7211 | 214 Breckenridge Ln Ste 114 Louisville KY 40207-3868 Ph: (502) 653-7211 |
| NPI Number | 1437699428 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9830621986 |
|---|---|
| Medicare Enrollment ID | O20241015001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437699428 | NPI | - | NPPES |
| 7100456570 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0901670 (Kentucky) | Primary |
| Provider Name | Melissa B Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245440718 PECOS PAC ID: 2769614080 Enrollment ID: I20140418000616 |
| Provider Name | Christine M Njogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669939450 PECOS PAC ID: 9234471343 Enrollment ID: I20190419000464 |
| Provider Name | Sarah Mckinney Laughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740746122 PECOS PAC ID: 8921339979 Enrollment ID: I20191007001160 |
| Provider Name | Swan E Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154026193 PECOS PAC ID: 8325413008 Enrollment ID: I20231013000616 |
| Provider Name | Nicole Crenshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255516787 PECOS PAC ID: 8022540194 Enrollment ID: I20241014003512 |
| Provider Name | Kyle Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144997677 PECOS PAC ID: 6204368384 Enrollment ID: I20241014003980 |
| Provider Name | Jodi Bessinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194856500 PECOS PAC ID: 2567995350 Enrollment ID: I20241014004184 |
| Provider Name | Jesse Bradberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770148629 PECOS PAC ID: 4587196670 Enrollment ID: I20241014004388 |
| Provider Name | Caleb Burrell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1265800916 PECOS PAC ID: 8820520927 Enrollment ID: I20241014004522 |
| Provider Name | Christina Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033309364 PECOS PAC ID: 0042742199 Enrollment ID: I20241015001684 |
| Provider Name | Kristin Kephart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962820928 PECOS PAC ID: 9133651110 Enrollment ID: I20241015003564 |
| Provider Name | Jennifer Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932519691 PECOS PAC ID: 6002348091 Enrollment ID: I20241015003906 |
| Provider Name | Selina O'coffey |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558791913 PECOS PAC ID: 2062944051 Enrollment ID: I20241015004065 |
| Provider Name | Benjamin Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1700434636 PECOS PAC ID: 3476085473 Enrollment ID: I20241015004381 |
| Provider Name | Wendy Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326329830 PECOS PAC ID: 0648702647 Enrollment ID: I20241015004431 |
| Provider Name | Alexis Zicher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538721204 PECOS PAC ID: 7810429818 Enrollment ID: I20241015004482 |
| Provider Name | Alexis Goldman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760897920 PECOS PAC ID: 1658804380 Enrollment ID: I20241101001856 |
| Provider Name | Richard Carbuccia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629638408 PECOS PAC ID: 9739612474 Enrollment ID: I20241101001960 |
| Provider Name | Cayce Bayens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114688777 PECOS PAC ID: 4486188307 Enrollment ID: I20241114000316 |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |