CUMBERLAND RIVER BEHAVIORAL HEALTH, INC (NPI# 1902023526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902023526 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND RIVER BEHAVIORAL HEALTH, INC |
| Other Organization Name | CUMBERLAND RIVER COMPREHENSIVE CARE CENTER |
| Practice Address |
1203 American Greeting Rd Corbin KY 40701-4811 |
| Mailing Address |
Po Box 568 Corbin KY 40702-0568 |
| Practice Telephone | 6065287010 |
| Practice Fax Number | 6065285401 |
| Mailing Telephone | 6065287010 |
| Mailing Fax Number | 6065285401 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | MELANIE YEAGER (CEO) |
| Authorized Official Telephone | 6065287010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 17000696 | 05 | |
| KY | 33900051 | 05 | |
| KY | 45305554 | 05 | |
| KY | 27013010 | 05 | |
| KY | 28013019 | 05 | |
| KY | 30613038 | 05 |
| Other Name | Type Code |
|---|---|
| Cumberland River Comprehensive Care Center | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CUMBERLAND RIVER BEHAVIORAL HEALTH, INC. | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 |
| Street Address |
1203 AMERICAN GREETING RD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780881169 | James Ryan Tubbs | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-06-29 |
| 1932300654 | Matthew Justin Powell | Case Manager/Care Coordinator | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-30 |
| 1538373519 | Amy Nicole Janutolo | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-09 |
| 1275746760 | Jennings Asher Roberts | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-08 |
| 1386857878 | Michael C Mills | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-08 |
| 1750594669 | Leigh Margaret Powell | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-07 |
| 1669685574 | Joy Lynne White | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-07 |
| 1578776480 | Jill Halter Owens | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-07 |
| 1326250176 | Lisa Ann Smith | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-04 |
| 1942412796 | Donna Allena Treece-paul | Counselor | 1203 American Greeting Rd, Corbin, KY 40701-4811 | 2007-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| 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.