SAFE HARBOR MENTAL HEALTH (NPI# 1679042279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679042279 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOR MENTAL HEALTH |
| Practice Address |
33 Jacks Ln Somerset KY 42501-6152 |
| Practice Telephone | 6066790014 |
| Practice Fax Number | 6066790024 |
| Mailing Telephone | 6066790014 |
| Mailing Fax Number | 6066790024 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Authorized Official Name | KATHERINE L TILLERY (OWNER) |
| Authorized Official Telephone | 8598688186 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 1992721773 | 05 |
| Other Name | Type Code |
|---|---|
| Safe Harbor Mental Health | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SAFE HARBOR MENTAL HEALTH COUNSELING, PLLC | 309 N Hayden Bay Dr, Portland, OR 97217-8303 |
| Street Address |
33 JACKS LN |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551803 | Thrive Therapy | Clinic/Center | 8070 W Dixon Rd, Somerset, TX 78069-3503 | 2019-11-05 |
| 1073918504 | Anew Wellness, LLC | Clinic/Center | 270 Davidson Avenue, Suite 105, Somerset, NJ 08873-4140 | 2014-10-27 |
| 1346583549 | Arcadiapsych, LLC | Clinic/Center | 100 Franklin Square Dr Ste 108, Somerset, NJ 08873-4109 | 2013-04-05 |
| 1356588719 | Banyan Tree Mental Health Services | Clinic/Center | 19a Dellwood Lane, Somerset, NJ 08873 | 2009-01-07 |
| 1366073439 | Haven Psychological Services | Clinic/Center | 1075 Easton Ave, Tower 3 Suite 3, Somerset, NJ 08873-1648 | 2020-01-28 |
| 1518485416 | Oaks Integrated Care | Clinic/Center | 3 Lebed Dr, Somerset, NJ 08873-2931 | 2017-08-31 |
| 1023413549 | A True Life Somerset,llc | Clinic/Center | 100 Franklin Square Dr, Suite 207, Somerset, NJ 08873-4109 | 2014-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126128 | T.m.j.j.w., LLC | Clinic/Center | 3192 Dixie Hwy, Erlanger, KY 41018-1850 | 2020-02-14 |
| 1538705280 | Tms Therapy Partners | Clinic/Center | 100 Mallard Creek Rd Ste 210, Louisville, KY 40207-5154 | 2019-11-18 |
| 1952883621 | New Hope Counseling | Clinic/Center | 1313 Lyndon Ln Ste 208, Louisville, KY 40222-7302 | 2018-08-30 |
| 1689077836 | Heidi Solarz-kutz, Lcsw, Cadc | Clinic/Center | 7204 Highway 329, Crestwood, KY 40014-8822 | 2014-10-02 |
| 1275975955 | Kara Stebbins, Md, Pllc | Clinic/Center | 832 Tremont Ave, Lexington, KY 40502-2234 | 2013-07-23 |
| 1962787572 | Sharad Patel LLC | Clinic/Center | 1230 Woodland Dr Ste 210, Elizabethtown, KY 42701-2792 | 2011-10-14 |
| 1073776514 | Whispering Winds Community Living, Inc. | Clinic/Center | 1600 Bridgeport Rd, Frankfort, KY 40601-8359 | 2008-07-04 |
| 1780854034 | Random House Community Living Inc | Clinic/Center | 5505 Random Way, Louisville, KY 40291-1821 | 2008-03-03 |
| 1689852170 | Combs Residential Service, Inc. | Clinic/Center | 11455 North Highway 27, Eubank, KY 42567 | 2008-02-06 |
| 1952595381 | Dayspring Counseling Center | Clinic/Center | 2673 Campbellsville Rd, Greensburg, KY 42743-9703 | 2007-08-29 |
| 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.