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KENTUCKY RIVER COMMUNITY CARE INC NPI 1528017142


NPI Information

NPI: 1528017142
Provider Name: KENTUCKY RIVER COMMUNITY CARE, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
115 ROCKWOOD LN
HAZARD, KY
ZIP 41701
Phone: (606) 436-4071
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KENTUCKY RIVER COMMUNITY CARE, INC is a mental health counselor in Hazard, KY. KENTUCKY RIVER COMMUNITY CARE, INC NPI is 1528017142. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 ROCKWOOD LN
HAZARD, KY
ZIP 41701-415
Phone: (606) 436-4071
Fax: (606) 436-5797

The provider's authorized official is Marcia Adams .
The authorized official title is Cfo and has the following contact phone number (606) 666-4351.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 9/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TS0200XPsychologistSchoolNo
4101Y00000XCounselorNo
5101YA0400XCounselorAddiction (Substance Use Disorder)No
6101YP2500XCounselorProfessionalNo
7101YS0200XCounselorSchoolNo
81041C0700XSocial WorkerClinicalNo
9174400000XSpecialistNo
10225X00000XOccupational TherapistNo
11261QP2300XClinic/CenterPrimary CareNo
12320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
130612022MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.