LJKS NPI 1194207910

NPI Information

NPI: 1194207910
Provider Name: LJKS

Other Name: DENOVA

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1301 WINCHESTER RD STE 147
LEXINGTON, KY
ZIP 40505
Phone: (859) 309-2814
Get Directions

LJKS is a professional counselor in Lexington, KY. LJKS NPI is 1194207910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Denova.

The provider's business location address is:

1301 WINCHESTER RD STE 147
LEXINGTON, KY
ZIP 40505-179
Phone: (859) 309-2814
Fax: (859) 309-1791

The provider's authorized official is Jana Jacobson .
The authorized official title is Practice Manager and has the following contact phone number (859) 552-1272.

The CLIA number assigned to this NPI record is 18D2287867 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 8/12/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
2	207P00000X	Emergency Medicine		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	No
6	363L00000X	Nurse Practitioner		No
7	363LF0000X	Nurse Practitioner	Family	No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
9	1041C0700X	Social Worker	Clinical	No
10	101YP2500X	Counselor	Professional	Yes

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

NPI Synchronization or Removal

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