TRUDDY KETCHERSID (NPI# 1437641669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437641669 |
| Entity Type | Individual |
| Full Name | TRUDDY KETCHERSID |
| Practice Address |
710 Stratton St Logan WV 25601-4015 |
| Mailing Address |
Po Box 64 Verdunville WV 25649-0064 |
| Practice Telephone | 3047528972 |
| Practice Fax Number | 3047528977 |
| Mailing Telephone | 3047528972 |
| Mailing Fax Number | 3047528977 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
710 STRATTON ST |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-4015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891347704 | Logan Professional Counseling Services | Counselor | 710 Stratton St, Logan, WV 25601-4015 | 2019-07-10 |
| 1568954782 | Lisa Meade | Counselor | 710 Stratton St, Logan, WV 25601-4015 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| 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 |
|---|---|---|---|---|
| 1609349554 | Kaleb Parry | Counselor | 1755 N 200 E Bsmt, Logan, UT 84341-1915 | 2019-01-03 |
| 1811229354 | Joshua D. Hoyt | Counselor | 2072 N Main St, Logan, UT 84341-1993 | 2010-02-09 |
| 1386266708 | Tyler Richardson | Counselor | 180 S 600 W, Logan, UT 84321-5026 | 2020-05-07 |
| 1407404791 | Cheryl Thacker | Counselor | 312 Hudgins St, Logan, WV 25601-3534 | 2019-08-29 |
| 1215594635 | Simone Yvonne Regan | Counselor | 19 W Center St Ste 201, Logan, UT 84321-5803 | 2019-05-21 |
| 1396219226 | Taylor A Weidner | Counselor | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2019-01-14 |
| 1083112148 | Sierra Schaaf | Counselor | 30381 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1881101004 | Wyatt Montgomery | Counselor | 1755 N 200 E, Logan, UT 84341-1915 | 2018-01-09 |
| 1811403579 | Boni J Probasco | Counselor | 33 W 2nd St, Logan, OH 43138-1886 | 2017-12-18 |
| 1427367044 | Krystal Nadine Abraham | Counselor | 655 E 1300 N, Logan, UT 84341 | 2010-09-30 |
| Find all providers in LOGAN | ||||
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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.