CANDIDA PHELPS (NPI# 1093245201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093245201 |
| Entity Type | Individual |
| Full Name | CANDIDA PHELPS |
| Practice Address |
200 Clinic Dr Madisonville KY 42431-1661 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2708218874 |
| Practice Fax Number | 2708218883 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
200 CLINIC DR |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-1661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116132 | James Criss Yelton | Orthopaedic Surgery | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2005-07-05 |
| 1881207355 | Ronnie Leif Knudsen | Pharmacist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-08-25 |
| 1366051922 | Eric Aodh O'reilly | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-07-29 |
| 1841829124 | Stuart D Le | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1386273654 | Folaranmi Ajiboye | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1154950434 | Alexander B Weber | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1174152458 | Kyle A Romines | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1346879624 | Lohita Nulu | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-04-07 |
| 1255961827 | Melinda Nightingale | Nurse Practitioner | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2020-01-22 |
| 1093366858 | Heather Koren Wyatt | Peer Specialist | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003273665 | Caris Counseling & Behavioral Health Group | Counselor | 108 S Main St Ste 104, Madisonville, KY 42431-2580 | 2016-01-26 |
| 1568585982 | Michael Freeman Lee | Counselor | 404 N. May, Suite- C, Madisonville, TX 77864 | 2007-04-09 |
| 1215329453 | Synergy Counseling and Wellness Center, LLC | Counselor | 14 N Main St, Madisonville, KY 42431-1963 | 2015-02-25 |
| 1386048304 | Cameka Ann Shelby | Counselor | 108 S Main St, Ste 104, Madisonville, KY 42431-2565 | 2014-10-20 |
| 1376967596 | Bonnie Hastings Young-turley | Counselor | 14 N Main St, Madisonville, KY 42431-1963 | 2014-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860752 | Tyler Douglas Choate | Counselor | 908 Star of Danube Way, Lexington, KY 40509-4473 | 2020-10-27 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| 1447862560 | New Moon Counseling and Wellness, LLC | Counselor | 713 Millpond Rd Ste 8, Lexington, KY 40514-1570 | 2020-08-19 |
| 1902414659 | Brittany Mckenzie | Counselor | 411 Cribbs Hill, Grayson, KY 41143 | 2020-07-20 |
| 1588281711 | Net Law Group, Inc | Counselor | 12910 Shelbyville Rd Ste 124, Louisville, KY 40243-1594 | 2020-07-04 |
| 1114541521 | Misty R Keith | Counselor | 12700 Townepark Way Ste 337, Louisville, KY 40243-2556 | 2020-06-01 |
| 1295356657 | Tonya R Branham | Counselor | 110 E Main St Ste 109, Georgetown, KY 40324-1780 | 2020-04-27 |
| 1548899891 | Daniel Mcglone | Counselor | 746 W Main St Ste 1, Morehead, KY 40351-1444 | 2020-04-07 |
| 1417586868 | Teresa A Davis | Counselor | 71 Cavalier Blvd Ste 303, Florence, KY 41042-5172 | 2020-04-07 |
| 1033741947 | Annemarie Lucile Armistead | Counselor | 3808 S Griffith Ave, Owensboro, KY 42301-6852 | 2020-02-08 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.