| Seven Counties Services, Inc. | |
|
10401 Linn Station Rd Ste 100 Louisville KY 40223-3842 | |
| (502) 589-8600 | |
| (502) 589-8771 |
| Full Name | Seven Counties Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10401 Linn Station Rd Ste 100, Louisville, Kentucky |
| Authorized Official Name and Position | Abbreial Drane (CEO) |
| Authorized Official Contact | 5025898600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seven Counties Services, Inc. 10401 Linn Station Rd Ste 100 Louisville KY 40223-3842 Ph: (502) 589-8600 | Seven Counties Services, Inc. 10401 Linn Station Rd Ste 100 Louisville KY 40223-3842 Ph: (502) 589-8600 |
| NPI Number | 1598793671 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 1759294424 |
|---|---|
| Medicare Enrollment ID | O20031110000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598793671 | NPI | - | NPPES |
| 30606099 | Medicaid | KY |
| Provider Name | Angela R Schardein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336250422 PECOS PAC ID: 0143128611 Enrollment ID: I20031222000313 |
| Provider Name | Marlyce Renee Hill Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972578813 PECOS PAC ID: 1850286725 Enrollment ID: I20040219000092 |
| Provider Name | Barry Rebeck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174534036 PECOS PAC ID: 2264322098 Enrollment ID: I20040317000086 |
| Provider Name | Delora K Boaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285637389 PECOS PAC ID: 1254232721 Enrollment ID: I20040407001088 |
| Provider Name | Carolyn A Ragsdale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790899813 PECOS PAC ID: 9830173731 Enrollment ID: I20040617000505 |
| Provider Name | Elizabeth S Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013932276 PECOS PAC ID: 9830153360 Enrollment ID: I20041115001152 |
| Provider Name | Mark S Jorrisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104881994 PECOS PAC ID: 8224086533 Enrollment ID: I20050104000264 |
| Provider Name | Tina Marie Baldwin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346257938 PECOS PAC ID: 9537110895 Enrollment ID: I20050203000295 |
| Provider Name | Jenny Rebecca Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346343282 PECOS PAC ID: 2365485463 Enrollment ID: I20050609000602 |
| Provider Name | Catherine J Porter Proctor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225084817 PECOS PAC ID: 4183654890 Enrollment ID: I20050812000497 |
| Provider Name | Tatyana L Rybakova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982615860 PECOS PAC ID: 5496786196 Enrollment ID: I20050823000293 |
| Provider Name | Scott T Hedges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154364750 PECOS PAC ID: 1759314743 Enrollment ID: I20050912000085 |
| Provider Name | Kathryn E Brotzge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053318626 PECOS PAC ID: 0547293540 Enrollment ID: I20050912000115 |
| Provider Name | Mary L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659393981 PECOS PAC ID: 5890714166 Enrollment ID: I20051116000081 |
| Provider Name | Marjorie S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164572020 PECOS PAC ID: 2860412731 Enrollment ID: I20051207000142 |
| Provider Name | Elaine Marie Baunach-peers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780792093 PECOS PAC ID: 7810902996 Enrollment ID: I20060210000074 |
| Provider Name | Alison M Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700814910 PECOS PAC ID: 0547265985 Enrollment ID: I20060919000194 |
| Provider Name | Valerie D Schreiner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841201456 PECOS PAC ID: 2466450366 Enrollment ID: I20061130000397 |
| Provider Name | Mary H Simms-boone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801802954 PECOS PAC ID: 6608974928 Enrollment ID: I20070611000613 |
| Provider Name | Rebecca Lee Tamas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679625610 PECOS PAC ID: 2365534898 Enrollment ID: I20070828000773 |
| Provider Name | Lorie A Horner-dewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225226673 PECOS PAC ID: 8729161062 Enrollment ID: I20080211000381 |
| Provider Name | Howard Fishkoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144277476 PECOS PAC ID: 8325041759 Enrollment ID: I20080609000139 |
| Provider Name | Kerrie J Anthony |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801042627 PECOS PAC ID: 5294800264 Enrollment ID: I20080826000793 |
| Provider Name | Rebecca L Dail |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477662047 PECOS PAC ID: 8527136670 Enrollment ID: I20081002000692 |
| Provider Name | Vanessa G Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114027687 PECOS PAC ID: 4284792730 Enrollment ID: I20081028000098 |
| Provider Name | Kathryn G Francescon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457501751 PECOS PAC ID: 0244390433 Enrollment ID: I20081118000371 |
| Provider Name | Ryan B Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699975417 PECOS PAC ID: 6901960186 Enrollment ID: I20090203000397 |
| Provider Name | Sajida Suleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134337876 PECOS PAC ID: 1658437256 Enrollment ID: I20090305000763 |
| Provider Name | Regina L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841259272 PECOS PAC ID: 0244380327 Enrollment ID: I20090611000174 |
| Provider Name | Wolfgang F Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811979537 PECOS PAC ID: 3971572645 Enrollment ID: I20091207000419 |
| Provider Name | Erika J Ruth |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1053511949 PECOS PAC ID: 9032258793 Enrollment ID: I20091209000495 |
| Provider Name | Kathryn D Forbes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598941841 PECOS PAC ID: 1355425703 Enrollment ID: I20100218000211 |
| Provider Name | Heather A Panariello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326210725 PECOS PAC ID: 1658550983 Enrollment ID: I20110119000568 |
| Provider Name | Joanna L Nahinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093829285 PECOS PAC ID: 7911187828 Enrollment ID: I20110210000159 |
| Provider Name | Jo A Spath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548375850 PECOS PAC ID: 8224218813 Enrollment ID: I20110215000260 |
| Provider Name | Donna M Mcrae-toney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669572137 PECOS PAC ID: 9931380318 Enrollment ID: I20110217000493 |
| Provider Name | Pukur Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447275714 PECOS PAC ID: 4981500907 Enrollment ID: I20110311000016 |
| Provider Name | Amy Noll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457659849 PECOS PAC ID: 2668655580 Enrollment ID: I20110330000227 |
| Provider Name | Linda S Hoke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144529710 PECOS PAC ID: 2062697881 Enrollment ID: I20110421000029 |
| Provider Name | William James Grenier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154626521 PECOS PAC ID: 1557547460 Enrollment ID: I20110510000667 |
| Provider Name | Elizabeth M Caudill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861426991 PECOS PAC ID: 3274710215 Enrollment ID: I20110531000628 |
| Provider Name | Daisy M Judkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386813830 PECOS PAC ID: 7214114560 Enrollment ID: I20110614000367 |
| Provider Name | Michael Mayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245255504 PECOS PAC ID: 0345428645 Enrollment ID: I20110708000149 |
| Provider Name | Arun Kaithi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851578579 PECOS PAC ID: 6305005828 Enrollment ID: I20120301000905 |
| Provider Name | Monica M Halappanavar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649442302 PECOS PAC ID: 9537323902 Enrollment ID: I20120614000631 |
| Provider Name | Ruchita Agrawal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790941318 PECOS PAC ID: 6204091333 Enrollment ID: I20120622000312 |
| Provider Name | Charles R Noplis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639330780 PECOS PAC ID: 6103082383 Enrollment ID: I20120717000400 |
| Provider Name | Terry L Cable |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508120502 PECOS PAC ID: 6800042201 Enrollment ID: I20120816000701 |
| Provider Name | Pamela Witek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770836843 PECOS PAC ID: 8628221470 Enrollment ID: I20130104000153 |
| Provider Name | Barbara S Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828004 PECOS PAC ID: 6507091436 Enrollment ID: I20131031001500 |
| Provider Name | Shannon L Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710213806 PECOS PAC ID: 6901034842 Enrollment ID: I20140122001247 |
| Provider Name | Alicia B Trager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598969933 PECOS PAC ID: 2062644032 Enrollment ID: I20140407001594 |
| Provider Name | Niki L Overstreet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235411562 PECOS PAC ID: 0244459105 Enrollment ID: I20140909000718 |
| Provider Name | Sandra W Wyndham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356742787 PECOS PAC ID: 5496976169 Enrollment ID: I20141021003039 |
| Provider Name | Michelle L Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679602783 PECOS PAC ID: 9335360072 Enrollment ID: I20141022002311 |
| Provider Name | Cynthia M Kamer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407039233 PECOS PAC ID: 3971826488 Enrollment ID: I20150107002161 |
| Provider Name | Jerilyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528089125 PECOS PAC ID: 6709957756 Enrollment ID: I20150129000496 |
| Provider Name | Christen Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891193215 PECOS PAC ID: 0941524508 Enrollment ID: I20150130001407 |
| Provider Name | Laura J Husband |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063705705 PECOS PAC ID: 2769708072 Enrollment ID: I20150304001305 |
| Provider Name | Katherine A Clagett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215233770 PECOS PAC ID: 0143546275 Enrollment ID: I20150306001336 |
| Provider Name | Penny Moers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033389770 PECOS PAC ID: 8628396173 Enrollment ID: I20150413000770 |
| Provider Name | Jennifer Lynn Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235511072 PECOS PAC ID: 1759693500 Enrollment ID: I20150707003377 |
| Provider Name | Lisa M Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912225178 PECOS PAC ID: 3971816265 Enrollment ID: I20150715001586 |
| Provider Name | Nicole S Abbott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043587686 PECOS PAC ID: 2062725047 Enrollment ID: I20150720002760 |
| Provider Name | Allison M Yoder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841516820 PECOS PAC ID: 5698089415 Enrollment ID: I20150806010685 |
| Provider Name | Jeanie J Hammond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487857926 PECOS PAC ID: 7113232364 Enrollment ID: I20150817001957 |
| Provider Name | Diana Baylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134250624 PECOS PAC ID: 3476869108 Enrollment ID: I20150826001073 |
| Provider Name | Valentina Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225404148 PECOS PAC ID: 8022325026 Enrollment ID: I20150923000488 |
| Provider Name | Mary E Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750567178 PECOS PAC ID: 3072822386 Enrollment ID: I20151027000739 |
| Provider Name | Samantha Elizabeth Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035689 PECOS PAC ID: 0648582148 Enrollment ID: I20151105001603 |
| Provider Name | Corinna L Pannell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104956838 PECOS PAC ID: 1951606292 Enrollment ID: I20160224000417 |
| Provider Name | Kimberly D Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881824480 PECOS PAC ID: 1850696766 Enrollment ID: I20160301001349 |
| Provider Name | Marguerite C Burch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396025961 PECOS PAC ID: 1153574553 Enrollment ID: I20160302002242 |
| Provider Name | Cowann Owens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639415169 PECOS PAC ID: 1951608520 Enrollment ID: I20160324002213 |
| Provider Name | Katherine Joyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366876492 PECOS PAC ID: 9931407723 Enrollment ID: I20160412000449 |
| Provider Name | Amy P Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912169442 PECOS PAC ID: 1557518552 Enrollment ID: I20160823002793 |
| Provider Name | Lisa A Orr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629432414 PECOS PAC ID: 3375838808 Enrollment ID: I20160823002898 |
| Provider Name | Erin Jenkins Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124200340 PECOS PAC ID: 6901985654 Enrollment ID: I20161010000633 |
| Provider Name | Terri J. Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801081203 PECOS PAC ID: 2062700461 Enrollment ID: I20161018002652 |
| Provider Name | Katie M Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972873958 PECOS PAC ID: 8426337635 Enrollment ID: I20161110002049 |
| Provider Name | Trina Wells |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386852267 PECOS PAC ID: 6103108659 Enrollment ID: I20170118002708 |
| Provider Name | Jessica L Thelen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1306215330 PECOS PAC ID: 4587949003 Enrollment ID: I20170324001513 |
| Provider Name | Brad Goebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073921516 PECOS PAC ID: 7618252941 Enrollment ID: I20170328001800 |
| Provider Name | Susan Hewitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144228321 PECOS PAC ID: 7012979438 Enrollment ID: I20170405001817 |
| Provider Name | Sarah C Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720376023 PECOS PAC ID: 1254618283 Enrollment ID: I20170501001003 |
| Provider Name | Denise De Angelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174688535 PECOS PAC ID: 8426087321 Enrollment ID: I20170524001872 |
| Provider Name | Melissa M Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104211135 PECOS PAC ID: 0446546261 Enrollment ID: I20170607000632 |
| Provider Name | Anna Coppol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003353434 PECOS PAC ID: 1658649413 Enrollment ID: I20170620000679 |
| Provider Name | Crystal M Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396083150 PECOS PAC ID: 6406125608 Enrollment ID: I20170703000117 |
| Provider Name | Sarah Elizabeth Wilburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275932162 PECOS PAC ID: 1254600943 Enrollment ID: I20170714001055 |
| Provider Name | Carrie Morgeson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851618664 PECOS PAC ID: 4880964097 Enrollment ID: I20170720002881 |
| Provider Name | Amanda J Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993176 PECOS PAC ID: 1759652928 Enrollment ID: I20170807000890 |
| Provider Name | Kelli N Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710380035 PECOS PAC ID: 7810268711 Enrollment ID: I20170811000708 |
| Provider Name | Brend D Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340389 PECOS PAC ID: 4587937339 Enrollment ID: I20170830002085 |
| Provider Name | Dejuan F Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821386129 PECOS PAC ID: 2860768884 Enrollment ID: I20171019000359 |
| Provider Name | Tymberly S Seim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356736896 PECOS PAC ID: 7113206996 Enrollment ID: I20171110002927 |
| Provider Name | Ashley E. Rigsby Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356635312 PECOS PAC ID: 4486912631 Enrollment ID: I20171218002380 |
| Provider Name | Rachel S Mattaline |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881074144 PECOS PAC ID: 2860752268 Enrollment ID: I20180202001939 |
| Provider Name | Svetlana Famina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053792515 PECOS PAC ID: 8921368127 Enrollment ID: I20180208001063 |
| Provider Name | Virginia R Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417273269 PECOS PAC ID: 3072873132 Enrollment ID: I20180209000912 |
| Provider Name | Andrew T Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679822977 PECOS PAC ID: 5890056899 Enrollment ID: I20180308001834 |
| Provider Name | Heather Hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366722639 PECOS PAC ID: 2860755907 Enrollment ID: I20180424001505 |
| Provider Name | Rayna L Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902196918 PECOS PAC ID: 5597028639 Enrollment ID: I20180424001519 |
| Provider Name | Amy L Feusner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306347844 PECOS PAC ID: 2567726284 Enrollment ID: I20180504001903 |
| Provider Name | Jonathan D Kunis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831388073 PECOS PAC ID: 3274757497 Enrollment ID: I20180613001319 |
| Provider Name | Glenda Alfonso Alea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134559602 PECOS PAC ID: 3072868173 Enrollment ID: I20180613001766 |
| Provider Name | Jonathon W White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568659795 PECOS PAC ID: 3476808346 Enrollment ID: I20180618000893 |
| Provider Name | Christina Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076242 PECOS PAC ID: 5991051153 Enrollment ID: I20180702002768 |
| Provider Name | Nancy E Renick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104132695 PECOS PAC ID: 8921328477 Enrollment ID: I20180810002888 |
| Provider Name | Samantha Rae Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336627355 PECOS PAC ID: 9133479488 Enrollment ID: I20180906002132 |
| Provider Name | Christina Gaines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043799729 PECOS PAC ID: 1153671086 Enrollment ID: I20180913001984 |
| Provider Name | Shannon L Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730345836 PECOS PAC ID: 5193076537 Enrollment ID: I20180924001682 |
| Provider Name | Lauren M Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821415449 PECOS PAC ID: 5597018283 Enrollment ID: I20181026000175 |
| Provider Name | Valerie Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790026094 PECOS PAC ID: 6406109198 Enrollment ID: I20181026000185 |
| Provider Name | Tara Frem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710385695 PECOS PAC ID: 6507110137 Enrollment ID: I20181116000993 |
| Provider Name | Elizabeth H Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811243595 PECOS PAC ID: 2860746492 Enrollment ID: I20181116001010 |
| Provider Name | Laura K Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366701328 PECOS PAC ID: 4688918220 Enrollment ID: I20181207001537 |
| Provider Name | Rachel Myra Fitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306265673 PECOS PAC ID: 6709136724 Enrollment ID: I20190108003712 |
| Provider Name | Tessa A Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164839940 PECOS PAC ID: 9133466634 Enrollment ID: I20190122002254 |
| Provider Name | Susan B Buckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063977759 PECOS PAC ID: 8022357474 Enrollment ID: I20190228002176 |
| Provider Name | Ashley R Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710449558 PECOS PAC ID: 1557603016 Enrollment ID: I20190502000795 |
| Provider Name | Allison Amshoff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104901966 PECOS PAC ID: 0941533541 Enrollment ID: I20190613002595 |
| Provider Name | Jennifer Hofelich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689231375 PECOS PAC ID: 5496080988 Enrollment ID: I20190703002144 |
| Provider Name | Latasha White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568930188 PECOS PAC ID: 7517292659 Enrollment ID: I20190711003353 |
| Provider Name | Angela M Caine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568732568 PECOS PAC ID: 2163758319 Enrollment ID: I20190725000381 |
| Provider Name | Shaquilla N Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003476466 PECOS PAC ID: 3476889296 Enrollment ID: I20190731001639 |
| Provider Name | Rebecca Susan Whitley Lockhart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477686665 PECOS PAC ID: 9537495361 Enrollment ID: I20190731001783 |
| Provider Name | Shereka M Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205498748 PECOS PAC ID: 1355679317 Enrollment ID: I20190828004261 |
| Provider Name | Stuart Cripe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164075909 PECOS PAC ID: 5991033953 Enrollment ID: I20190828004277 |
| Provider Name | Ana Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851724777 PECOS PAC ID: 7315275310 Enrollment ID: I20190829001600 |
| Provider Name | Teandra Keyosha Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942561915 PECOS PAC ID: 0244568160 Enrollment ID: I20190829002826 |
| Provider Name | Shaya Hadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396103347 PECOS PAC ID: 7416286265 Enrollment ID: I20190904002344 |
| Provider Name | Amy Marie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770130122 PECOS PAC ID: 3779813480 Enrollment ID: I20190924000226 |
| 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 | Danielle L Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912555913 PECOS PAC ID: 5698006906 Enrollment ID: I20191016003389 |
| Provider Name | Lisa Joan Pfitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518978097 PECOS PAC ID: 9032205547 Enrollment ID: I20191030000105 |
| Provider Name | Kate E Bilotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699033837 PECOS PAC ID: 5698107316 Enrollment ID: I20191119001810 |
| Provider Name | Gericaha Spiller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073924031 PECOS PAC ID: 2668804287 Enrollment ID: I20191119002354 |
| Provider Name | Kennetha Alma Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366787798 PECOS PAC ID: 8123451473 Enrollment ID: I20191127001911 |
| Provider Name | Danielle Renee Lunsford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376197103 PECOS PAC ID: 3971937483 Enrollment ID: I20191216001849 |
| Provider Name | Kimberley Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720129117 PECOS PAC ID: 3870927072 Enrollment ID: I20191220002425 |
| Provider Name | Alecia Chantelle Mosley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497391379 PECOS PAC ID: 9537594700 Enrollment ID: I20200115003139 |
| Provider Name | Rita Kircher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164060141 PECOS PAC ID: 6204261415 Enrollment ID: I20200116001367 |
| Provider Name | Tonya Lynn Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083251763 PECOS PAC ID: 4880029800 Enrollment ID: I20200122001597 |
| Provider Name | Barbara Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457999377 PECOS PAC ID: 6901232537 Enrollment ID: I20200130001096 |
| Provider Name | Erica Gail Reevey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326691825 PECOS PAC ID: 7416383609 Enrollment ID: I20200206002180 |
| Provider Name | Samuel W Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194169656 PECOS PAC ID: 8527497213 Enrollment ID: I20200331003739 |
| Provider Name | Melanie Mcalister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265065940 PECOS PAC ID: 4688004013 Enrollment ID: I20200424002624 |
| Provider Name | Reba Pendleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710596275 PECOS PAC ID: 3971928151 Enrollment ID: I20200805000887 |
| Provider Name | Natasha L Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013464973 PECOS PAC ID: 7911322862 Enrollment ID: I20200810000810 |
| Provider Name | Lindsay N Brotzge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023628146 PECOS PAC ID: 9133545999 Enrollment ID: I20200811003739 |
| Provider Name | Jill Katherine Sither |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962014662 PECOS PAC ID: 1951728013 Enrollment ID: I20200903001679 |
| Provider Name | Ashley M Dountz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255931218 PECOS PAC ID: 0648680652 Enrollment ID: I20201103001314 |
| Provider Name | Laura Elaine Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629486493 PECOS PAC ID: 4385054220 Enrollment ID: I20201105000415 |
| Provider Name | Krista A Bullard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609477983 PECOS PAC ID: 4183034887 Enrollment ID: I20201109002478 |
| Provider Name | Christine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811594385 PECOS PAC ID: 8820408354 Enrollment ID: I20201111002066 |
| Provider Name | Irene Golimbu Nagaraj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508364563 PECOS PAC ID: 2163833450 Enrollment ID: I20201117001593 |
| Provider Name | Tabitha L Overstreet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487257754 PECOS PAC ID: 0143631168 Enrollment ID: I20201124000826 |
| Provider Name | Allison Blair Caballeros |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598351199 PECOS PAC ID: 5092127779 Enrollment ID: I20201222002333 |
| Provider Name | Brianna Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790374023 PECOS PAC ID: 9830502640 Enrollment ID: I20210114002482 |
| Provider Name | Tomi Sue Miley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871186577 PECOS PAC ID: 4789099086 Enrollment ID: I20210218003030 |
| Provider Name | Anthony Justin Shults |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568530459 PECOS PAC ID: 4880001536 Enrollment ID: I20210325001713 |
| Provider Name | Carolyn Elizabeth Felsoci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104129774 PECOS PAC ID: 7719396183 Enrollment ID: I20210514002012 |
| Provider Name | Desarae S Brymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306420401 PECOS PAC ID: 5799194163 Enrollment ID: I20210514002129 |
| Provider Name | Breanne F Cura |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508496084 PECOS PAC ID: 4385043678 Enrollment ID: I20210518001875 |
| Provider Name | Sara Mae Michele Welsh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639607880 PECOS PAC ID: 2567862717 Enrollment ID: I20210610000831 |
| Provider Name | Melissa Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184984239 PECOS PAC ID: 5799185740 Enrollment ID: I20210611001579 |
| Provider Name | Kathryn Bowles Nesmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851960769 PECOS PAC ID: 3173924750 Enrollment ID: I20210702002104 |
| Provider Name | Erin L Fulkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427628742 PECOS PAC ID: 1052713773 Enrollment ID: I20210716001520 |
| Provider Name | Melissa S Carson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376114983 PECOS PAC ID: 1658774096 Enrollment ID: I20210722003989 |
| Provider Name | Anna K Broster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679248918 PECOS PAC ID: 1951706480 Enrollment ID: I20210823000719 |
| Provider Name | Katherine L Garrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356016463 PECOS PAC ID: 3779988142 Enrollment ID: I20210823003029 |
| Provider Name | Ellen Azucena Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912673435 PECOS PAC ID: 3173928223 Enrollment ID: I20210827000265 |
| Provider Name | Erin Kathleen Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871262246 PECOS PAC ID: 0840697728 Enrollment ID: I20210920001626 |
| Provider Name | Brookelynn Harness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063183655 PECOS PAC ID: 1850799057 Enrollment ID: I20211001000790 |
| Provider Name | Danielle Harding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932870615 PECOS PAC ID: 2769880921 Enrollment ID: I20211001002939 |
| Provider Name | Jessica Cowick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548932593 PECOS PAC ID: 2264830033 Enrollment ID: I20211007003584 |
| Provider Name | Katherine E Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609548361 PECOS PAC ID: 0042618738 Enrollment ID: I20211011002077 |
| Provider Name | Kayla L Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124780143 PECOS PAC ID: 5799183240 Enrollment ID: I20211013002437 |
| Provider Name | Phoenix K Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104589498 PECOS PAC ID: 9638567886 Enrollment ID: I20211021000719 |
| Provider Name | Robyn Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659652477 PECOS PAC ID: 7214325315 Enrollment ID: I20211021003100 |
| Provider Name | Desiree Rodann Brown-daughtry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811029945 PECOS PAC ID: 4082002977 Enrollment ID: I20211026001960 |
| Provider Name | Amanda M Amsden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275298689 PECOS PAC ID: 6103215553 Enrollment ID: I20211105001272 |
| Provider Name | Christina Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760031967 PECOS PAC ID: 6901296409 Enrollment ID: I20211123002326 |
| Provider Name | Kayla M Coile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831856459 PECOS PAC ID: 9436549938 Enrollment ID: I20211123002386 |
| Provider Name | Heather Denise Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760934210 PECOS PAC ID: 7618367194 Enrollment ID: I20211124002091 |
| Provider Name | Katherine J Easley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023776259 PECOS PAC ID: 9335539014 Enrollment ID: I20211213001306 |
| Provider Name | Paul Elliot Merenbloom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679584510 PECOS PAC ID: 2769872332 Enrollment ID: I20211214002175 |
| Provider Name | Ashley R Dejarnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184383226 PECOS PAC ID: 7810388980 Enrollment ID: I20211228000469 |
| Provider Name | Shameka K Fridenstine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538545470 PECOS PAC ID: 9537552344 Enrollment ID: I20220131000389 |
| Provider Name | Cory Moneymaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518404169 PECOS PAC ID: 7517350267 Enrollment ID: I20220202001074 |
| Provider Name | Misty G Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811649874 PECOS PAC ID: 0446643084 Enrollment ID: I20220203001539 |
| Provider Name | Sophia C Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013660018 PECOS PAC ID: 5496148553 Enrollment ID: I20220214000528 |
| Provider Name | Tania Avalos Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902550247 PECOS PAC ID: 9335532282 Enrollment ID: I20220217000674 |
| Provider Name | Kirby Lashay Van Lierop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841944931 PECOS PAC ID: 4082007968 Enrollment ID: I20220217001847 |
| Provider Name | Elizabeth Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568123867 PECOS PAC ID: 8527452408 Enrollment ID: I20220221000033 |
| Provider Name | Ashley Nicole Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487307898 PECOS PAC ID: 0749674570 Enrollment ID: I20220222000114 |
| Provider Name | Angie C Olson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346996618 PECOS PAC ID: 1759776610 Enrollment ID: I20220311002275 |
| Provider Name | Bonnie Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366775215 PECOS PAC ID: 1052707940 Enrollment ID: I20220331003008 |
| Provider Name | Taylor Rene Messex |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356084610 PECOS PAC ID: 9537556972 Enrollment ID: I20220503001969 |
| Provider Name | Jennifer Amber Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295470813 PECOS PAC ID: 1658758875 Enrollment ID: I20220509002319 |
| Provider Name | Allison A Koetter |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1992142475 PECOS PAC ID: 7416229166 Enrollment ID: I20220509002426 |
| Provider Name | Erin G Downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174269617 PECOS PAC ID: 7113305574 Enrollment ID: I20220526000902 |
| Provider Name | Erika Brandi Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447998497 PECOS PAC ID: 2163800970 Enrollment ID: I20220607003291 |
| Provider Name | Robert S Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619609336 PECOS PAC ID: 7214318203 Enrollment ID: I20220721003876 |
| Provider Name | Renee M Barren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790410918 PECOS PAC ID: 3476936303 Enrollment ID: I20220810001414 |
| Provider Name | Jessica Marie Rueff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568615912 PECOS PAC ID: 5294118642 Enrollment ID: I20220817001815 |
| Provider Name | Danielle S Etter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750675310 PECOS PAC ID: 3678958337 Enrollment ID: I20220915002464 |
| Provider Name | Crystal Mae Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477274413 PECOS PAC ID: 3375928617 Enrollment ID: I20220922000827 |
| Provider Name | Patrick Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356965024 PECOS PAC ID: 9335525146 Enrollment ID: I20221003000726 |
| Provider Name | Megan L Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699498188 PECOS PAC ID: 0941686299 Enrollment ID: I20221010003029 |
| Provider Name | Stephanie Leigh Houin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003318213 PECOS PAC ID: 0941556542 Enrollment ID: I20221104002614 |
| Provider Name | Laura B Bodinet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487371035 PECOS PAC ID: 9133596968 Enrollment ID: I20221107002880 |
| Provider Name | Madeline Louise Baumgartner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568051977 PECOS PAC ID: 7911375183 Enrollment ID: I20221118001022 |
| Provider Name | Mayra Alejandra Torres-ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326769746 PECOS PAC ID: 4486022548 Enrollment ID: I20221121001651 |
| Provider Name | Philip Emery Pippen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461206 PECOS PAC ID: 2668840588 Enrollment ID: I20221128002040 |
| Provider Name | Christin Kingery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669069324 PECOS PAC ID: 3577931161 Enrollment ID: I20221202000615 |
| Provider Name | Diane L Herrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437592334 PECOS PAC ID: 7416327101 Enrollment ID: I20221220002681 |
| Provider Name | Sadie E Aschbacher Ray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457941726 PECOS PAC ID: 2163892209 Enrollment ID: I20230105002886 |
| Provider Name | Christina Rose Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316659345 PECOS PAC ID: 6305217472 Enrollment ID: I20230127001536 |
| Provider Name | Kaitlin P Neason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972209815 PECOS PAC ID: 5294107314 Enrollment ID: I20230217001168 |
| Provider Name | Tonya Silcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659946689 PECOS PAC ID: 5193198687 Enrollment ID: I20230303000533 |
| Provider Name | Geoffrey Oliver Preston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730884909 PECOS PAC ID: 0345615803 Enrollment ID: I20230414000662 |
| Provider Name | Marion D Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235824327 PECOS PAC ID: 4183099559 Enrollment ID: I20230417002893 |
| Provider Name | Dane Michael Mendelsohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144925439 PECOS PAC ID: 8224493564 Enrollment ID: I20230420002039 |
| Provider Name | Haley C Bosemer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629781224 PECOS PAC ID: 7719342906 Enrollment ID: I20230421001151 |
| Provider Name | Sandra Evelyn Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467149435 PECOS PAC ID: 2860857877 Enrollment ID: I20230426002794 |
| Provider Name | Courtney A Albers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104535517 PECOS PAC ID: 9739545518 Enrollment ID: I20230522000279 |
| Provider Name | Yukishia D Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437843687 PECOS PAC ID: 4981062395 Enrollment ID: I20230616001067 |
| Provider Name | Amy Diane Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265123889 PECOS PAC ID: 5294193991 Enrollment ID: I20230627002517 |
| Provider Name | Robert D Caudill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932673076 PECOS PAC ID: 8527420165 Enrollment ID: I20230815001194 |
| Provider Name | Andrew Jacob Wagoner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891393989 PECOS PAC ID: 5496168502 Enrollment ID: I20230823004328 |
| Provider Name | Mariah C Carrico |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376320929 PECOS PAC ID: 3577917368 Enrollment ID: I20230927003329 |
| Provider Name | Yitza Danger Mercaderes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881204493 PECOS PAC ID: 9335595289 Enrollment ID: I20231027003212 |
| Provider Name | Amanda Kay Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518749712 PECOS PAC ID: 1254788896 Enrollment ID: I20231103001718 |
| Provider Name | Grace E Conway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497527295 PECOS PAC ID: 6709233943 Enrollment ID: I20231109003143 |
| Provider Name | Stuart Perry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811761984 PECOS PAC ID: 8022466317 Enrollment ID: I20231127003159 |
| Provider Name | Sonya Lockhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932488392 PECOS PAC ID: 2062862618 Enrollment ID: I20231222002239 |
| Provider Name | Danielle Cinderella Casson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386051548 PECOS PAC ID: 7810347093 Enrollment ID: I20231229002681 |
| Provider Name | Lillian J Dumar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467885368 PECOS PAC ID: 5890145981 Enrollment ID: I20240102003399 |
| Provider Name | Kourtnee Seymour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740529783 PECOS PAC ID: 9436509536 Enrollment ID: I20240102003415 |
| Provider Name | Julie Dalbom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942431697 PECOS PAC ID: 2668822768 Enrollment ID: I20240102003597 |
| Provider Name | Cary Edward Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811011752 PECOS PAC ID: 0042660045 Enrollment ID: I20240102003936 |
| Provider Name | Kayti Michel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548675366 PECOS PAC ID: 6406206424 Enrollment ID: I20240103000521 |
| Provider Name | Mckayla A Doll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326706235 PECOS PAC ID: 5890145841 Enrollment ID: I20240103001635 |
| Provider Name | Siobh Ann Flanagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386909489 PECOS PAC ID: 3173973161 Enrollment ID: I20240103003265 |
| Provider Name | Emily Nicole Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306553722 PECOS PAC ID: 3678941796 Enrollment ID: I20240103003780 |
| Provider Name | Jean Romano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659405264 PECOS PAC ID: 3678924677 Enrollment ID: I20240103003802 |
| Provider Name | Sean Michael Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326659202 PECOS PAC ID: 7810348711 Enrollment ID: I20240104002519 |
| Provider Name | Stephen Klump |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518295179 PECOS PAC ID: 2365893278 Enrollment ID: I20240104002951 |
| Provider Name | Jumoke Owolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093584716 PECOS PAC ID: 1456702224 Enrollment ID: I20240105000812 |
| Provider Name | Stephanie Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558633453 PECOS PAC ID: 4688025430 Enrollment ID: I20240105003389 |
| Provider Name | Elizabeth Beck |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134695620 PECOS PAC ID: 5294186912 Enrollment ID: I20240108000630 |
| Provider Name | Erica Adams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255763769 PECOS PAC ID: 0143671867 Enrollment ID: I20240108000847 |
| Provider Name | Susanah Keel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023344348 PECOS PAC ID: 8729439351 Enrollment ID: I20240109000833 |
| Provider Name | Jill Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962823526 PECOS PAC ID: 8426409970 Enrollment ID: I20240109001734 |
| Provider Name | Caitlin Macy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649687757 PECOS PAC ID: 4789035239 Enrollment ID: I20240109001787 |
| Provider Name | Amanda Orr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497427710 PECOS PAC ID: 3779934245 Enrollment ID: I20240109002568 |
| Provider Name | Vanessa Garr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114383742 PECOS PAC ID: 9830540939 Enrollment ID: I20240112000928 |
| Provider Name | Ronda White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164555215 PECOS PAC ID: 8527419688 Enrollment ID: I20240112002868 |
| Provider Name | Alicia Brutscher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366792996 PECOS PAC ID: 5395197339 Enrollment ID: I20240116001564 |
| Provider Name | Kimberly C Bihl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538685516 PECOS PAC ID: 8325490295 Enrollment ID: I20240116002812 |
| Provider Name | Vivian Elizabeth Fleming |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558506311 PECOS PAC ID: 2062864366 Enrollment ID: I20240123002036 |
| Provider Name | Cathryn Stuecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205030657 PECOS PAC ID: 8921451162 Enrollment ID: I20240124002409 |
| Provider Name | Sunni Aster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629849286 PECOS PAC ID: 4486007317 Enrollment ID: I20240126003941 |
| Provider Name | Ashli M Allen |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063087492 PECOS PAC ID: 5092168898 Enrollment ID: I20240129001610 |
| Provider Name | Fran Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053515403 PECOS PAC ID: 7315390994 Enrollment ID: I20240131000390 |
| Provider Name | Samuel H Dougherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376305714 PECOS PAC ID: 1254775661 Enrollment ID: I20240213004303 |
| Provider Name | Hannah Johns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467192393 PECOS PAC ID: 8628412772 Enrollment ID: I20240216003581 |
| Provider Name | Amelia Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316198617 PECOS PAC ID: 0648616201 Enrollment ID: I20240306002083 |
| Provider Name | Monica E Shotzbarger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710027032 PECOS PAC ID: 9638515141 Enrollment ID: I20240306003952 |
| Provider Name | Elaina Lee Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831818962 PECOS PAC ID: 5698111441 Enrollment ID: I20240314003136 |
| Provider Name | Mollie Hobbs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306251285 PECOS PAC ID: 1658718028 Enrollment ID: I20240320003452 |
| Provider Name | Kimberly Rachel Millanti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336923101 PECOS PAC ID: 6800233099 Enrollment ID: I20240323000129 |
| Provider Name | Roscelyn Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033883871 PECOS PAC ID: 3476991019 Enrollment ID: I20240402002902 |
| Provider Name | Katelin Sandfoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942846662 PECOS PAC ID: 9537507512 Enrollment ID: I20240410001053 |
| Provider Name | Bambi Rita Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598258394 PECOS PAC ID: 7810336450 Enrollment ID: I20240416002661 |
| Provider Name | Jonisha Nicholson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215346192 PECOS PAC ID: 5890134217 Enrollment ID: I20240418002120 |
| Provider Name | William Patrick Doyle |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1629215207 PECOS PAC ID: 8628418910 Enrollment ID: I20240503001123 |
| Provider Name | Emily Christine Lowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013522804 PECOS PAC ID: 5698116507 Enrollment ID: I20240509001901 |
| Provider Name | Kimberly Joell Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114365590 PECOS PAC ID: 1850732777 Enrollment ID: I20240509002015 |
| Provider Name | Allison Armstrong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437440310 PECOS PAC ID: 1052752649 Enrollment ID: I20240514002282 |
| Provider Name | Krislin Diann Lashea Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265189500 PECOS PAC ID: 3678015617 Enrollment ID: I20240606000589 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
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 |