JOHNNY LEE PERKINS (NPI# 1770003576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770003576 |
Entity Type | Individual |
Full Name | JOHNNY LEE PERKINS |
Practice Address |
2206 Walnut St Catlettsburg KY 41129-1247 |
Mailing Address |
125 S Main Cross St Louisa KY 41230-1065 |
Practice Telephone | 6063930767 |
Mailing Telephone | 6066380938 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2017-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467902064 | Johnny Perkins | Counselor | 18703 Mettler Ave, Carson, CA 90746-2150 | 2016-10-06 |
1184772675 | Johnny Julian Perkins Jr. | Physical Therapy Assistant | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-01-08 |
Street Address |
2206 WALNUT ST |
City | CATLETTSBURG |
State | KY |
Zip Code | 41129-1247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699337832 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 2206 Walnut St, Catlettsburg, KY 41129-1247 | 2019-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184233702 | Amelia Beth Coleman | Dentist | 16005 Us-23 South, Catlettsburg, KY 41129 | 2020-07-29 |
1194371112 | Vlado Pavlovic | Dentist | 16005 Us-23, Catlettsburg, KY 41129 | 2019-08-15 |
1174883227 | James Jason Farley | Pharmacist | Us 23 & 35th St, Catlettsburg, KY 41129 | 2012-05-23 |
1972894285 | Richard Wayne Dodson | Pharmacist | Us 23 and 35th Street, Catlettsburg, KY 41129 | 2011-04-21 |
1780762823 | Farah Anees | Family Medicine | 4009 Louisa Road, Catlettsburg, KY 41129 | 2006-11-02 |
1285727917 | Dianna Carol Grubb | Developmental Therapist | 2703 Roe Creek Rd, Catlettsburg, KY 41129 | 2006-10-02 |
1356829147 | Ryan Thomas Faulkner | Nurse Practitioner | 4004 Louisa Rd, Catlettsburg, KY 41129 | 2018-08-02 |
1083932552 | Stacey Ann Dixon | Family Medicine | 4004 Louisa Road, Catlettsburg, KY 41129-0001 | 2010-05-08 |
1750834008 | Ryann Lynn Thornsberry | Pharmacist | 3501 Court St, Catlettsburg, KY 41129-1011 | 2016-08-03 |
1043853450 | Annie T Smith | Pharmacist | 3501 Court St, Catlettsburg, KY 41129-1011 | 2019-10-18 |
Find all providers in zip 41129 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
1881291672 | W I N G S Community Support & Recovery Services | Peer Specialist | 401 N Miles St # B101, Elizabethtown, KY 42701-1834 | 2020-10-05 |
1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
1427671957 | Barbara K Collier | Peer Specialist | 205 Mercer St, Elizabethtown, KY 42701-2731 | 2020-05-19 |
1316566813 | Sarah Clarkson Goff | Peer Specialist | 2655 Bardstown Rd, St Catharine, KY 40061 | 2020-04-14 |
1497383715 | Lawerence E Pickett | Peer Specialist | 537 Bellwood Dr, Elizabethtown, KY 42701-2336 | 2020-03-31 |
1326676578 | April Roann Robertson | Peer Specialist | 207 Hillcrest Dr, Elizabethtown, KY 42701-1719 | 2020-03-31 |
1053949370 | Brad Williamson | Peer Specialist | 535 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2335 | 2020-03-31 |
1730717000 | Carolyn M Vance | Peer Specialist | 537 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2336 | 2020-03-31 |
1083242697 | Chelsea Blair | Peer Specialist | 413 E Dixie Ave, Elizabethtown, KY 42701-1162 | 2020-03-30 |
Find all providers with the same taxonomy |
City | CATLETTSBURG |
Zip Code | 41129 |
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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.