Somerset Mental Health, Psc | |
149 Enterprise Dr Somerset KY 42501-6155 | |
(606) 679-6995 | |
(606) 451-9465 |
Full Name | Somerset Mental Health, Psc |
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Speciality | Community/Behavioral Health |
Location | 149 Enterprise Dr, Somerset, Kentucky |
Authorized Official Name and Position | Jason M Thayer (ADMINISTRATOR) |
Authorized Official Contact | 6066796995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Somerset Mental Health, Psc 149 Enterprise Dr Somerset KY 42501-6155 Ph: (606) 679-6995 | Somerset Mental Health, Psc 149 Enterprise Dr Somerset KY 42501-6155 Ph: (606) 679-6995 |
NPI Number | 1891722146 |
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Provider Enumeration Date | 06/26/2006 |
Last Update Date | 02/06/2017 |
Medicare PECOS PAC ID | 1254320716 |
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Medicare Enrollment ID | O20040510000863 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891722146 | NPI | - | NPPES |
29102217 | Medicaid | KY | |
7100190490 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Kentucky) | Secondary |
251S00000X | Community/behavioral Health | (Kentucky) | Primary |
Provider Name | Nancy J Thayer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871640979 PECOS PAC ID: 0143219600 Enrollment ID: I20040513000223 |
Provider Name | Jason M Thayer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780867630 PECOS PAC ID: 0345376224 Enrollment ID: I20110225000124 |
Provider Name | Brian Tucker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386040335 PECOS PAC ID: 2062775349 Enrollment ID: I20180419001776 |
Provider Name | Stephanie Doss |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962885798 PECOS PAC ID: 5395082135 Enrollment ID: I20190131002962 |
Provider Name | Karen Jones |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790202679 PECOS PAC ID: 1951717685 Enrollment ID: I20210304000756 |
Provider Name | Elizabeth Loring |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770023236 PECOS PAC ID: 1658787668 Enrollment ID: I20210316002623 |
Provider Name | Elisha L Hussey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417612672 PECOS PAC ID: 8123412368 Enrollment ID: I20220303001670 |
Provider Name | Heather Ramsey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891383899 PECOS PAC ID: 3870949696 Enrollment ID: I20231030002492 |
Provider Name | Cynthia Colyer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831804830 PECOS PAC ID: 7810344116 Enrollment ID: I20231108000923 |
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