CASEY FARRIS (NPI# 1811509235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811509235 |
| Entity Type | Individual |
| Full Name | CASEY FARRIS |
| Credential | M.ED, LPCC |
| Practice Address |
292 Glades Rd Ste 8 Berea KY 40403-1368 |
| Mailing Address |
Po Box 802 Berea KY 40403-0802 |
| Practice Telephone | 8594287862 |
| Practice Fax Number | 8599997869 |
| Mailing Telephone | 8594287682 |
| Mailing Fax Number | 8599997869 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
262856 | KY | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
262856 | KY | Behavioral Health & Social Service Providers |
| Street Address |
292 GLADES RD STE 8 |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659420701 | Rachel V Fraley | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2007-01-09 |
| 1114553773 | Elaine Lewis | Social Worker | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2020-03-16 |
| 1447809736 | Amber Savannah Rose | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-09-09 |
| 1952963282 | Jennifer R. Hamblin | Nurse Practitioner | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-07-08 |
| 1639739824 | Ashleigh Brooke Martin | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-06-19 |
| 1902379761 | Elisha Stuppy | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-04 |
| 1245703214 | Debra Carrier | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2019-01-02 |
| 1083182570 | Laura Weitkamp | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-02 |
| 1912474487 | George Sparks | Case Manager/Care Coordinator | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-01 |
| 1649775248 | Karissa L Anderson | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1386845824 | Todd D. Hendrix | Counselor | 218 Race St, Berea, OH 44017-2321 | 2007-05-31 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| 1780148841 | Irena Arkhypenko | Counselor | 434 Eastland Rd, Berea, OH 44017-1217 | 2019-01-23 |
| 1083182570 | Laura Weitkamp | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-11-02 |
| 1891274767 | Johanna L Toomey | Counselor | 429 Front St, Berea, OH 44017-1716 | 2018-08-10 |
| 1649775248 | Karissa L Anderson | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-03-26 |
| 1194233726 | Ashley Dawn Peace | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2018-01-17 |
| 1508378852 | Brittany L Lakes | Counselor | 292 Glades Rd Ste 8, Berea, KY 40403-1368 | 2017-10-26 |
| 1245767904 | Audrey Grace Truett | Counselor | 104 Legacy Dr, Berea, KY 40403-9594 | 2017-05-12 |
| Find all providers in BEREA | ||||
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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.