MR. BENJAMIN DORSEY FERGUSON IV (NPI# 1154743607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154743607 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN DORSEY FERGUSON IV |
| Credential | LCADC |
| Practice Address |
156 N Lake Dr Prestonsburg KY 41653-1270 |
| Mailing Address |
446 S Central Ave Prestonsburg KY 41653-7874 |
| Practice Telephone | 6065065077 |
| Mailing Telephone | 6063696399 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1061 | KY | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1360 | KY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 446 S Central Ave, Prestonsburg, KY 416537874 | 6063696399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224507 | Benjamin John Ferguson II | Counselor | 3451 Court House Dr, Ellicott City, MD 21043-4337 | 2018-08-08 |
| 1770988065 | Benjamin Ferguson | Hearing Instrument Specialist | 952 Commercial Dr, Richmond, KY 40475-3402 | 2014-10-29 |
| 1164046975 | Benjamin David Ferguson | Pharmacist | 1641 23rd Ave, Greeley, CO 80634-6012 | 2020-06-08 |
| 1932560893 | Benjamin Joseph Ferguson | Anesthesiologist Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2016-03-18 |
| 1871973677 | Benjamin Ferguson | Psychiatry & Neurology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661-3044 | 2015-06-05 |
| 1699175182 | Benjamin Ferguson | Pharmacist | 3180 Se Federal Hwy, Stuart, FL 34994-5531 | 2014-09-03 |
| 1942648837 | Benjamin D Ferguson | Surgery | 1 University of New Mexico, Msc 10 5610, Albuquerque, NM 87131 | 2013-06-12 |
| 1588938724 | Benjamin Ferguson | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2012-03-06 |
| Street Address |
156 N LAKE DR |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326103821 | All Family Healthcare | Family Medicine | 156 N Lake Dr, Prestonsburg, KY 41653-1270 | 2006-12-26 |
| 1700264918 | Commonwealth Counseling Centers LLC | Substance Abuse Rehabilitation Facility | 156 N Lake Dr, Prestonsburg, KY 41653-1270 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184079311 | Michael Vance | Counselor | 1033 S Highland Ave, Prestonsburg, KY 41653-7889 | 2016-04-25 |
| 1184093395 | Kimberly Calhoun | Counselor | 87 Oak Ridge Ct, Prestonsburg, KY 41653-8595 | 2015-09-17 |
| 1720468937 | Vanark Behavioral Management, Inc. | Counselor | 207 W Court St, Prestonsburg, KY 41653-7732 | 2015-06-02 |
| 1326443102 | Ohio Valley Physicians | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2014-10-23 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1750781142 | Appalachian Health Services Inc | Counselor | 126 Collins Cir Ste 3, Prestonsburg, KY 41653-7913 | 2014-09-04 |
| 1871671230 | George Scott Walker | Counselor | 1416 S Lake Dr, Prestonsburg, KY 41653-1353 | 2006-11-02 |
| 1295347219 | Mikeal Fannin | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-08-20 |
| 1962010389 | Bridgette Ramey | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| 1699383943 | Kristin Tiedeman | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on MR. BENJAMIN DORSEY FERGUSON IV.
| 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.