WELLNESS PLACE LLC (NPI# 1316208069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316208069 |
| Entity Type | Organization |
| Organization Name | WELLNESS PLACE LLC |
| Practice Address |
68 Cedar St. Kuttawa KY 42055 |
| Mailing Address |
Po Box 250 Kuttawa KY 42055-0250 |
| Practice Telephone | 2706011575 |
| Practice Fax Number | 2703504673 |
| Mailing Telephone | 2706014235 |
| Mailing Fax Number | 2703654438 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | DR. DANIEL KRISTIN JONES (MEMBER) |
| Authorized Official Telephone | 2706014235 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1313 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100299330 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1840 Lantaff Blvd Ste 100, Madisonville, KY 424319403 | 2706014235 |
| Street Address |
68 CEDAR ST. |
| City | KUTTAWA |
| State | KY |
| Zip Code | 42055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376078220 | Sherry A Thomas | Social Worker | 68 Cedar St, Kuttawa, KY 42055 | 2017-04-28 |
| 1396282067 | New Life Treatment Center, LLP | Anesthesiology | 88 Cedar St, Kuttawa, KY 42055 | 2017-01-19 |
| 1184034951 | Kuttawa Clinic, Pllc | Nurse Practitioner | 91 Cedar Street, Kuttawa, KY 42055 | 2014-05-02 |
| 1013039353 | Thomas G Mcconnell | Pharmacist | 86 Cedar, Kuttawa, KY 42055 | 2007-04-06 |
| 1679553325 | Lyon Drug Store Inc | Pharmacy | 86 Cedar St, Kuttawa, KY 42055-0159 | 2006-01-19 |
| 1295818292 | Daniel K Jones | Psychologist | 68 Cedar Street, Po Box 250, Kuttawa, KY 42055-0250 | 2006-10-23 |
| 1760983191 | Jenna Meeks | Counselor | Po Box 250, Kuttawa, KY 42055-0250 | 2018-02-21 |
| 1093012841 | Optimum Care | Pharmacist | 2367 State Route 93 N, Kuttawa, KY 42055-5880 | 2011-02-14 |
| 1548402720 | Christian Care Center of Kuttawa, LLC | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Drive, Kuttawa, KY 42055-6124 | 2009-04-02 |
| 1548246754 | Hilltop Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1253 Lake Barkley Dr, Kuttawa, KY 42055-6124 | 2005-12-20 |
| Find all providers in zip 42055 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295818292 | Daniel K Jones | Psychologist | 68 Cedar Street, Po Box 250, Kuttawa, KY 42055-0250 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228415 | Mollie Marie Lefever | Psychologist | 204 Levisa Dr, Louisa, KY 41230-9352 | 2020-09-02 |
| 1831714138 | Theresa Marie Nowak | Psychologist | 233 Larch Ln, Lexington, KY 40511-2006 | 2020-06-11 |
| 1104446921 | Marina Sud | Psychologist | 1834 Gresham Rd, Louisville, KY 40205-2424 | 2020-04-22 |
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1801430525 | Higher Horizons Pllc | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-06 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1194374207 | John Lee Cecil | Psychologist | 203 Right Penhook Rd, Harold, KY 41635-7008 | 2019-09-11 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1184289878 | Courtney L. Cieslak-mullins | Psychologist | 9879 Route 122, Mcdowell, KY 41647 | 2019-05-08 |
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WELLNESS PLACE LLC.
| 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.