DESTINY ADULT, CHILD & FAMILY SERVICES LLC (NPI# 1497030928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497030928 |
| Entity Type | Organization |
| Organization Name | DESTINY ADULT, CHILD & FAMILY SERVICES LLC |
| Practice Address |
1830 Destiny Ln Suite 112 Bowling Green KY 42104-1087 |
| Practice Telephone | 2707848817 |
| Practice Fax Number | 2708430607 |
| Mailing Telephone | 2707848817 |
| Mailing Fax Number | 2708430607 |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |
| Authorized Official Name | MRS. CAROLYN KATES-GLASS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2703925531 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1830 DESTINY LN SUITE 112 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081417 | Richard Young | Podiatrist | 1830 Destiny Ln, Suite 110, Bowling Green, KY 42104 | 2005-05-27 |
| 1063965242 | Life Abundant Center | Social Worker | 1830 Destiny Ln, Suite105, Bowling Green, KY 42104-1087 | 2016-07-25 |
| 1992195325 | Amanda Portman | Social Worker | 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 | 2015-01-22 |
| 1013344084 | Restoration Counseling | Community/Behavioral Health | 1830 Destiny Ln, Bowling Green, KY 42104-1087 | 2013-10-04 |
| 1538505615 | Matthew Nicholson Damin | Dentist | 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104-1087 | 2013-05-16 |
| 1043503022 | Carolyn Kates-glass | Social Worker | 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 | 2011-05-24 |
| 1023257607 | Lisa Rae Rice | Counselor | 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104-1087 | 2009-02-05 |
| 1154569614 | Lucille Lee Mcmichael | Social Worker | 1830 Destiny Ln, Suite 112, Bowling Green, KY 42104-1087 | 2009-01-21 |
| 1609079847 | Jacqueline Peterson | Marriage & Family Therapist | 1830 Destiny Ln, Suite 107, Bowling Green, KY 42104-1087 | 2007-06-06 |
| 1023229374 | Kelli Alexander Barbee | Dentist | 1830 Destiny Ln, Suite 119, Bowling Green, KY 42104-1087 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757501 | Brittney S Wilson | Community/Behavioral Health | 735 Haskins Rd Ste C, Bowling Green, OH 43402-1620 | 2020-07-13 |
| 1750749248 | Mccoy Counseling Center | Community/Behavioral Health | 855 Lovers Ln, Suite 107, Bowling Green, KY 42103-7948 | 2016-01-29 |
| 1457787822 | Positive Directions Support Services, Pllc | Community/Behavioral Health | 5966 Scottsville Rd Ste 7, Bowling Green, KY 42104-7908 | 2013-09-17 |
| 1669401816 | Lifeskills, Inc. | Community/Behavioral Health | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2006-07-01 |
| 1629612031 | Emily Perkins | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2019-10-30 |
| 1053966333 | Barabara C Beale | Community/Behavioral Health | 735 Haskins Rd, Bowling Green, OH 43402-1638 | 2019-08-05 |
| 1851869432 | Cristina Navarre | Community/Behavioral Health | 735 Haskins Rd, Bowling Green, OH 43402-1638 | 2018-11-13 |
| 1477041176 | David Allen Avery | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2018-04-27 |
| 1932603537 | Samantha D Sobecki | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2018-03-20 |
| 1679002166 | Wood County Children's Services Association | Community/Behavioral Health | 1045 Klotz Rd, Bowling Green, OH 43402-4820 | 2017-06-08 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.