MICHAEL PHELPS


Address: 125 S Main Cross St, Louisa, KY 41230-1065
Phone: 6066380938

MICHAEL PHELPS (NPI# 1811533243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811533243
Entity Type Individual
Full Name MICHAEL PHELPS
Practice Address 125 S Main Cross St
Louisa
KY 41230-1065
Mailing Address Po Box 726
Louisa
KY 41230-0726
Practice Telephone 6066380938
Enumeration Date 2019-11-20
Last Update Date 2019-11-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers MICHAEL PHELPS

NPI Name Taxonomy Address Enumeration
1699060780 Michael Keith Phelps Family Medicine 16083 Sw Upper Boones Ferry Rd, Suite 320, Tigard, OR 97224-7736 2011-06-16
1013075308 Michael Steven Phelps Dentist 4350 Marconi Avenue, Suite 200, Sacramento, CA 95821 2006-12-05
1275519555 Michael Anthony Phelps Chiropractor 690 E Morgan St, Martinsville, IN 46151-1640 2005-12-19
1801454046 Michael Phelps Nurse Practitioner 160 Academy Ave, Greenwood, SC 29646-3808 2019-06-03
1043635329 Michael Phelps Case Manager/Care Coordinator 509 Ne Alberta St, Portland, OR 97211-3976 2014-02-24
1427196591 Michael Alan Phelps Anesthesiology 600 N Wolfe St, Baltimore, MD 21287-0005 2007-02-02
1366407769 Michael H Phelps Internal Medicine 5300 State Road 64, Suite 101, Georgetown, IN 47122-9178 2006-04-19
1073583308 Michael A Phelps Surgery 1228 E Rusholme St, Suite 3020, Davenport, IA 52803 2006-01-26

Office Location

Street Address 125 S MAIN CROSS ST
City LOUISA
State KY
Zip Code 41230-1065

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154415594 Amanda Slone Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2006-10-02
1124629282 Brittany Baker Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-11-05
1750981296 Ashlee Nicole Clemmons Registered Nurse 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-26
1740889526 Timothy Carter Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-22
1447858428 Nancy Lynn Pelfrey Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-13
1104424183 Carl Eugene Johnson IIi Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-13
1497352983 Aquarius Dion Young Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-07
1760089254 John Kevin Schmidt Jr. Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-07
1841897519 Patrick Michael Fogarty Counselor 125 S Main Cross St, Louisa, KY 41230-1065 2020-10-06
1942817622 Seth Patrick Myers Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-09-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811533599 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 105-107 E Madison St., Louisa, KY 41230 2019-11-18
1780236570 Addiction Recovery Care LLC Substance Abuse Rehabilitation Facility 1640 Jerushia Branch Rd., Booneville, KY 41230 2019-07-11
1922528272 Samantha Paige Stanley Peer Specialist 221 Windy Hill Drive, Louisa, KY 41230 2017-06-27
1407393457 Chandra D Blevins Peer Specialist 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 2017-01-30
1033654876 Amanda Hurley Peer Specialist 125 N. Main Cross Street, Louisa, KY 41230 2017-01-04
1780127753 Dakota Williams Peer Specialist 125 N Cross Main St, Louisa, KY 41230 2016-11-23
1568905529 Tara Runyon Peer Specialist 125 N Main Cross Street, Louisa, KY 41230 2016-11-23
1134575624 Misty Howell I Peer Specialist 125 S. Main Cross Street, Louisa, KY 41230 2016-05-13
1720404478 Louisa Dental Care Dentist 203 S. Water St, Louisa, KY 41230 2014-03-05
1326336728 Elite Chiropractic Psc Chiropractor 4347 Highway 2565, Louisa, KY 41230 2011-07-19
Find all providers in zip 41230

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548861842 Odell Levi Dixon Peer Specialist 105 S Main Cross St, Louisa, KY 40517 2020-11-03
1922528272 Samantha Paige Stanley Peer Specialist 221 Windy Hill Drive, Louisa, KY 41230 2017-06-27
1407393457 Chandra D Blevins Peer Specialist 125 N. Main Cross St., Louisa Office Addiction Recovery Care, Louisa, KY 41230 2017-01-30
1033654876 Amanda Hurley Peer Specialist 125 N. Main Cross Street, Louisa, KY 41230 2017-01-04
1780127753 Dakota Williams Peer Specialist 125 N Cross Main St, Louisa, KY 41230 2016-11-23
1568905529 Tara Runyon Peer Specialist 125 N Main Cross Street, Louisa, KY 41230 2016-11-23
1518313014 Latasha Leighann Byrd Peer Specialist 3651 Us Highway 2565, Louisa, KY 41320 2016-05-13
1134575624 Misty Howell I Peer Specialist 125 S. Main Cross Street, Louisa, KY 41230 2016-05-13
1942655766 Ashlea Leslie Peer Specialist 3651 Highway 2565, Louisa, KY 41230-5018 2016-04-29
1225483019 Sara Young I Peer Specialist 2135 Highway 1185, Louisa, KY 41230-7968 2016-04-28
Find all providers in LOUISA

Competitor

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City LOUISA
Zip Code 41230

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Dataset Information

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.

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