RECOVERY BEHAVIORAL HEALTHCARE LLC (NPI# 1639429731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639429731 |
Entity Type | Organization |
Organization Name | RECOVERY BEHAVIORAL HEALTHCARE LLC |
Other Organization Name | CENTEX |
Practice Address |
4312 Old Scioto Trl Portsmouth OH 45662-6642 |
Mailing Address |
Po Box 1430 Frankfort KY 40602-1430 |
Practice Telephone | 8592367913 |
Mailing Telephone | 5022263858 |
Mailing Fax Number | 5022239829 |
Enumeration Date | 2012-09-16 |
Last Update Date | 2012-09-16 |
Authorized Official Name | JAMIE DURHAM (MANAGING MEMBER) |
Authorized Official Telephone | 8596056390 |
Authorized Official Credential | MANAGING MEMBER |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Centex | Doing Business As Name - Organization |
Street Address |
4312 OLD SCIOTO TRL |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-6642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902156003 | Recovery Associates Inc. | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2012-09-16 |
1679174890 | Cardinal Treatment Centers Inc | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-11-04 |
1932715141 | Yana Smith | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-09-22 |
1487268900 | Sarah Michelle Lamb | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-09-02 |
1184258816 | Nick Perkins | Peer Specialist | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-03-03 |
1215589197 | Cardinal Treatment Centers Inc | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2019-07-11 |
1700239423 | Eric W Carter | Nurse Anesthetist, Certified Registered | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2016-07-18 |
1467821488 | Peggy Gemperline | Registered Nurse | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2015-09-21 |
1356724876 | Selfrefind Ohio LLC | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2015-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649835224 | Brenda Giddings | Nurse Practitioner | 116 Ledgewood Dr Apt 2, Portsmouth, NH 03801-6433 | 2019-05-08 |
1306313291 | Rossli Chace Delorey | Nurse Practitioner | 999 Islington St, Portsmouth, NH 03801-4229 | 2018-10-29 |
1871013995 | Michelle Renee Danielle Dillow | Nurse Practitioner | 1745 27th St, Portsmouth, OH 45662-2638 | 2017-06-20 |
1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
1285970608 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 1901 Argonne Road, Portsmouth, OH 45662 | 2012-12-13 |
1639471501 | New Hampshire Phs LLC | Nurse Practitioner | 1950 Lafayette Rd, Suite 201 Box 1, Portsmouth, NH 03801-8663 | 2010-11-29 |
1730414061 | Carolyn Dale Mckinnon | Nurse Practitioner | 1248 Kinneys Lane, Portsmouth, OH 45662-2677 | 2009-10-05 |
1235201419 | Diane M Langlois | Nurse Practitioner | 333 Borthwick Ave Ste 301, Portsmouth, NH 03801-7128 | 2006-11-14 |
1215951637 | Andrea Weilbrenner | Nurse Practitioner | 170 Commerce Way Ste 103, Portsmouth, NH 03801-3272 | 2006-07-27 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 45662 |
Please comment or provide details below to improve the information on RECOVERY BEHAVIORAL HEALTHCARE LLC.
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.