MOUNTAIN COMPREHENSIVE CARE CENTER, INC. (NPI# 1356990337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356990337 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMPREHENSIVE CARE CENTER, INC. |
| Practice Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6068868572 |
| Practice Fax Number | 6068864433 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | ROXANN CORDIAL (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 6068868572 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770121972 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 210 S Walnut St, Cynthiana, KY 41031-1541 | 2019-12-18 |
| 1265083141 | Mountain Comprehensive Care Center, Inc. | Pharmacy | 242 W Court St, Prestonsburg, KY 41653-7724 | 2019-09-23 |
| 1194224717 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 26229 Us Highway 119 N Ste A, Belfry, KY 41514-7416 | 2018-02-09 |
| 1114426863 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 130 Town Hill Rd, Louisa, KY 41230-6389 | 2018-02-08 |
| 1265944060 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 525 Dotson Branch, Salyersville, KY 41465 | 2017-11-02 |
| 1699386078 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 838 S Mayo Trl, Paintsville, KY 41240-1384 | 2020-08-11 |
| 1285244244 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 428 E Main St, Inez, KY 41224-8931 | 2020-08-05 |
| 1295385599 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-18 |
| 1346899275 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-09-04 |
| 1184182180 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 1110 S Mayo Trl, Paintsville, KY 41240-1273 | 2019-03-08 |
| Street Address |
104 S FRONT AVE |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020332 | Manmohan Pothuloori | Psychiatry & Neurology | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2005-08-16 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1932708427 | Yvonne House | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1649879529 | Kari Steele | Registered Nurse | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1730788712 | Megan Stansberry | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1235738238 | Ashley Blackburn | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1851990824 | Kelsey Sizemore | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1538768536 | Anthony Barrett | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1568061976 | Shawna Edwards | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992107833 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-09-23 |
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|---|---|---|---|---|
| 1235730532 | Reflection In Practice Counseling and Consultation | Clinic/Center | 1355 Bardstown Rd, Louisville, KY 40204-1353 | 2020-11-03 |
| 1568069326 | Evolve Lou Counseling | Clinic/Center | 1309 Cecil Ave, Louisville, KY 40211-2418 | 2020-10-05 |
| 1265048748 | Therapy Pros, Inc. | Clinic/Center | 928 Idlewild Ct, Lexington, KY 40505-3634 | 2020-09-19 |
| 1538791165 | Bhg Lviii, LLC | Clinic/Center | 1000 Ace Drive, Berea, KY 40403-1327 | 2020-02-11 |
| 1538791140 | Bhg Lviii, LLC | Clinic/Center | 2705 Olivet Church Road, Paducah, KY 42001-9755 | 2020-02-11 |
| 1356987929 | Faraday Kentucky, LLC | Clinic/Center | 10000 Shelbyville Rd Ste 101, Louisville, KY 40223-2973 | 2019-11-19 |
| 1568004976 | Good Shepherd Institute of The Bluegrass | Clinic/Center | 307 W Dixie Ave, Elizabethtown, KY 42701-1701 | 2019-10-17 |
| 1831746767 | Journey Through Counseling LLC | Clinic/Center | 2614 Utah Dr, Bowling Green, KY 42104-4263 | 2019-08-26 |
| 1578020210 | The Family Healing Center, Inc | Clinic/Center | 241 East Main Street, Morehead, KY 40351 | 2019-03-01 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| Find all providers with the same taxonomy | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
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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.