PRISCILLA PATRICK (NPI# 1396175311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396175311 |
| Entity Type | Individual |
| Full Name | PRISCILLA PATRICK |
| Practice Address |
561 N Lake Dr Prestonsburg KY 41653-1278 |
| Practice Telephone | 6062161152 |
| Mailing Telephone | 6062161152 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 1041C0700X | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1041C0700X | 05 |
| Street Address |
561 N LAKE DR |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174637730 | Ronetta A. Tucker | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2006-08-19 |
| 1356993836 | Jamie Mann | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2019-07-15 |
| 1972099109 | Danna Mills | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1457837684 | Heather Michelle Salyers | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1942796172 | Nickolas Bailey | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2018-07-11 |
| 1255840906 | Sandra Lee Coleman | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2017-09-26 |
| 1063884179 | Brittany Michelle Blevins | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2015-10-28 |
| 1578951224 | Jessica Crabtree | Social Worker | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2015-01-05 |
| 1275931222 | Jayme Sparks | Case Manager/Care Coordinator | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2014-12-08 |
| 1033549811 | Kvc | Community/Behavioral Health | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2013-11-15 |
| 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 | 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 |
|---|---|---|---|---|
| 1720302896 | Dana Huff | Counselor | 105 Trimble Chapel Sq, Prestonsburg, KY 41653-8462 | 2010-03-18 |
| 1679751085 | Joseph S. Sammons | Counselor | 162 Wells Dr, Prestonsburg, KY 41653-1520 | 2008-02-07 |
| 1467016188 | Joshua Allen | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-04-29 |
| 1053876870 | Julie Renay Fields | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2019-02-06 |
| 1891104600 | Cheryl H Combs-walker | Counselor | 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653-9097 | 2014-08-06 |
| 1790114015 | East Kentucky Rehabilitation Center | Counselor | 290 E Court St, Prestonsburg, KY 41653-7932 | 2013-11-06 |
| 1609150333 | Kali Holbrook | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2011-09-29 |
| 1649595992 | Pamela Griffey | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2010-03-30 |
| 1912167289 | Britney Adkins | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2008-06-11 |
| 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 | 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.