EMERALD THEREPY CENTER, LLC (NPI# 1619340387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619340387 |
| Entity Type | Organization |
| Organization Name | EMERALD THEREPY CENTER, LLC |
| Practice Address |
5050b Village Square Dr Paducah KY 42001-9499 |
| Practice Telephone | 2705345128 |
| Practice Fax Number | 2705586365 |
| Mailing Telephone | 2702172058 |
| Mailing Fax Number | 2704770007 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | SHELLY BAER (THERAPIST) |
| Authorized Official Telephone | 2705345128 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
KY | Behavioral Health & Social Service Providers | |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Nahm St Ste 1, Paducah, KY 420014362 | 2705345128 | 2704770007 |
| 3227 Coleman Rd, Paducah, KY 420016563 | 2705345128 | 2704770007 |
| Street Address |
5050B VILLAGE SQUARE DR |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974508 | Amy Gabrielle Grizzard | Physical Therapist | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2005-07-07 |
| 1205234655 | Lori Harris-greene | Speech-Language Pathologist | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2014-12-17 |
| 1831441427 | Leslie Lovett | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-10-08 |
| 1548512130 | Jennifer Holland | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-10-08 |
| 1316299902 | Amy Goebel | Occupational Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-10-08 |
| 1114279791 | Jenni Hansrote | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-10-08 |
| 1831461144 | Sabrina L Sams | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-02-01 |
| 1407137011 | Laura Reeves | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2011-09-09 |
| 1003121054 | Amanda E Sturm | Occupational Therapist | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2010-08-14 |
| 1518279009 | Chelsea B Edwards | Occupational Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| 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 |
|---|---|---|---|---|
| 1659418549 | Child Watch Counseling and Advocacy Center, Inc. | Community/Behavioral Health | 1118 Jefferson St, Paducah, KY 42001-1836 | 2007-01-31 |
| 1013315837 | Summit Mental Wellness and Counseling | Community/Behavioral Health | 4630 Village Square Dr, Suite 202, Paducah, KY 42001-7502 | 2014-12-10 |
| 1124361498 | Centerstone of Kentucky | Community/Behavioral Health | 3025 Clay St, Paducah, KY 42001-4071 | 2013-04-04 |
| 1538457288 | Renda L Brooks | Community/Behavioral Health | 425 Broadway St, Paducah, KY 42001-0713 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
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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.