KVC BEHAVIORAL HEALTHCARE (NPI# 1568891927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568891927 |
| Entity Type | Organization |
| Organization Name | KVC BEHAVIORAL HEALTHCARE |
| Practice Address |
804 Main St Shelbyville KY 40065-1224 |
| Mailing Address |
21350 W 153rd St Olathe KS 66061-5413 |
| Practice Telephone | 8592541035 |
| Mailing Telephone | 9133224900 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | LAURA DUKE (DIVERSION SPECIALIST/THERAPIST) |
| Authorized Official Telephone | 8592541035 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0825 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767571 | Kvc Behavioral Healthcare | Counselor | 419 Sw 29th St, Topeka, KS 66611-1105 | 2020-07-15 |
| 1104237049 | Kvc Behavioral Healthcare | Community/Behavioral Health | 900 Beasley St, Suite 120, Lexington, KY 40509-4266 | 2014-05-14 |
| 1659701357 | Kvc Behavioral Healthcare | Social Worker | 900 Beasley St, Lexington, KY 40509-4266 | 2013-11-15 |
| 1073943874 | Kvc Behavioral Healthcare | Social Worker | 21350 W 153rd St, Olathe, KS 66061-5413 | 2013-11-15 |
| 1518007905 | Kvc Behavioral Healthcare | Private Vehicle | 21350 W 153rd St, Olathe, KS 66061-5413 | 2007-02-07 |
| 1891835070 | Kvc Behavioral Healthcare | Clinic/Center | 21350 W 153rd St, Olathe, KS 66061-5413 | 2007-02-07 |
| 1922148907 | Kvc Behavioral Healthcare | Psychiatric Hospital | 21350 W 153rd St, Olathe, KS 66061-5413 | 2007-02-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KVC BEHAVIORAL HEALTHCARE KENTUCKY, INC. | 2250 Thunderstick Dr Ste 1104, Lexington, KY 40505-9009 |
| System for Award Management (SAM) Entities | KVC BEHAVIORAL HEALTHCARE NEBRASKA, INC. | 11550 I St # 100, Omaha, NE 68137-1222 |
| Street Address |
804 MAIN ST |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043735145 | Melissa Seastrand | Case Manager/Care Coordinator | 804 Main St, Shelbyville, KY 40065-1224 | 2017-08-09 |
| 1417483413 | Mekell Goodwin | Social Worker | 804 Main St, Shelbyville, KY 40065-1224 | 2017-05-11 |
| 1457782443 | Michele Beaudet-miller | Marriage & Family Therapist | 804 Main St, Shelbyville, KY 40065-1224 | 2013-12-02 |
| 1508295619 | Courtney Mcquistion | Social Worker | 804 Main St, Shelbyville, KY 40065-1224 | 2013-11-08 |
| 1750719159 | Robin Blankenship | Social Worker | 804 Main St, Shelbyville, KY 40065-1224 | 2013-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048268 | Maria Fairbourn | Social Worker | 7012 Beamtree Dr, Shelbyville, KY 40065-6328 | 2019-05-10 |
| 1063901775 | Jennifer Michelle Warawa | Social Worker | 600 Vawter Ln, Shelbyville, KY 40065-7363 | 2018-05-08 |
| 1770943060 | Kelly Stephens | Social Worker | 194 Fountain Lake Dr S, Shelbyville, IN 46176-9780 | 2016-02-29 |
| 1124377254 | Judith Reisz Burk | Social Worker | 544 Main St, Suite 3, Shelbyville, KY 40065-1120 | 2012-09-05 |
| 1790050383 | Mary Margaret Hubbell | Social Worker | 2130 Wilmington Blvd, Shelbyville, IN 46176-8525 | 2012-03-14 |
| 1174819247 | Kimberly Micheline English | Social Worker | 610 N Brittain St, Shelbyville, TN 37160-3402 | 2011-06-27 |
| 1538297296 | Sherry J Walker | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2007-03-02 |
| 1083782114 | Victoria A Harris | Social Worker | 54 W Broadway St Ste 6, Shelbyville, IN 46176-1267 | 2006-11-30 |
| 1942392188 | Fran S Neal | Social Worker | 931 Main Street, Shelbyville, KY 40065 | 2006-09-28 |
| 1699881987 | Angela C Nobles | Social Worker | 323 W Franklin St, Shelbyville, IN 46176-1113 | 2006-08-21 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.