KELLY J CLASGENS (NPI# 1144378225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144378225 |
| Entity Type | Individual |
| Full Name | KELLY J CLASGENS |
| Credential | LPCC |
| Practice Address |
519 Licking Pike Wilder KY 41071 |
| Practice Telephone | 8595720400 |
| Practice Fax Number | 8594423363 |
| Mailing Telephone | 8595720400 |
| Mailing Fax Number | 8594423363 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0416 | KY | Behavioral Health & Social Service Providers |
| Street Address |
519 LICKING PIKE |
| City | WILDER |
| State | KY |
| Zip Code | 41071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558354167 | Anne Wier Eason | Social Worker | 519 Licking Pike, Therapeutic Collaborative, Wilder, KY 41071-2941 | 2005-08-30 |
| 1306374533 | Raymond Curtis Bartholomew IIi | Counselor | 519 Licking Pike, Wilder, KY 41071-2941 | 2017-06-01 |
| 1811257355 | Kathryn O Voorhees | Social Worker | 519 Licking Pike, Wilder, KY 41071-2941 | 2012-05-17 |
| 1639292246 | Jennifer Anne George Mcgraw | Art Therapist | 519 Licking Pike, Wilder, KY 41071-2941 | 2007-04-09 |
| 1437290822 | Kimberly Michelle Witte | Nurse Practitioner | 519 Licking Pike, Wilder, KY 41071 | 2007-02-09 |
| 1265579460 | Sally J Sweeney | Counselor | 519 Licking Pike, Suite 100, Wilder, KY 41071 | 2007-01-30 |
| 1629123443 | Therapeutic Collaborative | Clinic/Center | 519 Licking Pike, Wilder, KY 41071 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528598240 | Drew Austin Rappaport | Dentist | 70 Carothers Rd, Newport, KY 41071 | 2017-06-14 |
| 1811443435 | Marcus E. Mckinney | Pharmacist | 100 Aqua Way, Newport, KY 41071 | 2016-09-01 |
| 1730306754 | Benjamin Michael Anderson | Psychologist | 1400 Grand Avenue, Newport, KY 41071 | 2007-04-19 |
| 1437288065 | Douglas K Braun | Dentist | 40 E 9th St, Newport, KY 41071 | 2007-03-02 |
| 1952445017 | Therapeutic Collabortive | Social Worker | 525 Licking Pike, Wilder, KY 41071 | 2007-02-20 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1790839819 | James John Otrembiak | Pediatrics | 525 Alexandria Pike Ste 320, Southgate, KY 41071 | 2007-01-23 |
| 1326047903 | Stephen F Mielech | Podiatrist | 525 Alexandria Pike, Southgate, KY 41071 | 2005-07-18 |
| 1033737085 | Ashley Ryan | Nurse Practitioner | 215 E. 11th St., Newport, KY 41071 | 2020-07-07 |
| 1548733066 | Summt Medical Group, Inc | Clinic/Center | 1400 Grand Avenue, Newport, KY 41071 | 2019-01-08 |
| Find all providers in zip 41071 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396704 | Lauren Mongonia | Counselor | 1 Moock Rd Bldg B, Wilder, KY 41071-5465 | 2018-11-27 |
| 1730487687 | Nichol A Boberg | Counselor | 400 Lakeview Dr Unit 206, Wilder, KY 41071-5310 | 2011-03-02 |
| 1215078407 | Holly Ann Eary | Counselor | 519 Licking Pk, Wilder, KY 41071 | 2007-02-09 |
| 1396791547 | Lisa A Burger | Counselor | 1 Moock Rd Ste 101, Wilder, KY 41071-5465 | 2006-05-26 |
| 1730595000 | Julie Ann Mosley | Counselor | 1 Moock Rd Ste 101, Wilder, KY 41071-5465 | 2014-07-08 |
| 1043651631 | Marjorie Appenfelder | Counselor | 1 Moock Rd Ste 101, Wilder, KY 41071-5465 | 2013-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
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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.