CHARLES HOLBROOK (NPI# 1861862179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861862179 |
| Entity Type | Individual |
| Full Name | CHARLES HOLBROOK |
| Practice Address |
767 Main St West Liberty KY 41472-1019 |
| Practice Telephone | 6067433139 |
| Mailing Telephone | 6067433139 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461556 | Charles R Holbrook IIi | Emergency Medicine | 4501 College Boulevard, Suite 300, Leawood, KS 66211 | 2005-07-20 |
| Street Address |
767 MAIN ST |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023115151 | Irene Powell | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2006-09-20 |
| 1205451150 | Haley Whisenhunt | Social Worker | 767 Main St, West Liberty, KY 41472-1019 | 2020-06-16 |
| 1659990968 | Angela Mullins | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2020-04-16 |
| 1649820556 | Ashley Straka | Social Worker | 767 Main St, West Liberty, KY 41472-1019 | 2019-09-13 |
| 1669022588 | Tara Rohr | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-09-12 |
| 1831754894 | Jerrigail Tackett | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-05-06 |
| 1003389933 | Megan Conn | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-01-03 |
| 1114490174 | Cecelia Bellew | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-01-02 |
| 1053829739 | Nicole A Perry | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2018-01-17 |
| 1184131070 | Kory Phelps | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2018-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| Find all providers in zip 41472 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013473131 | Timothy Ronald Moebs | Counselor | 1521 North Detroit Street, West Liberty, OH 43357 | 2019-02-13 |
| 1477648004 | Lora Tinsley | Counselor | 767 North Main Street, West Liberty, KY 41472 | 2006-10-03 |
| 1023115151 | Irene Powell | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2006-09-20 |
| 1659990968 | Angela Mullins | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2020-04-16 |
| 1669022588 | Tara Rohr | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-09-12 |
| 1831754894 | Jerrigail Tackett | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-05-06 |
| 1003389933 | Megan Conn | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-01-03 |
| 1114490174 | Cecelia Bellew | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2019-01-02 |
| 1053829739 | Nicole A Perry | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2018-01-17 |
| 1184131070 | Kory Phelps | Counselor | 767 Main St, West Liberty, KY 41472-1019 | 2018-01-02 |
| Find all providers in WEST LIBERTY | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
Please comment or provide details below to improve the information on CHARLES HOLBROOK.
| 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.