JAMES WICKLIFFE (NPI# 1952598252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952598252 |
| Entity Type | Individual |
| Full Name | JAMES WICKLIFFE |
| Practice Address |
1935 Bluegrass Ave Louisville KY 40215-1145 |
| Mailing Address |
101 W Muhammad Ali Blvd Louisville KY 40202-1423 |
| Practice Telephone | 5023660705 |
| Practice Fax Number | 5023753199 |
| Mailing Telephone | 5025891100 |
| Mailing Fax Number | 5025898771 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1935 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182221 | John Andrew Millin | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2005-05-27 |
| 1740832500 | Kelley Elizabeth Sedlock | Optometrist | 1935 Bluegrass Ave, Louisville, KY 40215-1179 | 2019-07-11 |
| 1083092126 | Nikolaos Christos Zagorianos | Optometrist | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2015-05-08 |
| 1447668058 | Fraser Douglas Mckay | Optometrist | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2014-07-28 |
| 1790118842 | University Kidney Center Bluegrass LLC | Clinic/Center | 1935 Bluegrass Ave, Suite 100, Louisville, KY 40215-1191 | 2013-08-13 |
| 1770838732 | Ian W Mcwherter | Optometrist | 1935 Bluegrass Ave, Louisville, KY 40215-1179 | 2012-07-16 |
| 1124290408 | Dina A English | Counselor | 1935 Bluegrass Ave, Louisville, KY 40215-1145 | 2008-03-27 |
| 1023207859 | Lawrence Tenkman | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2007-10-17 |
| 1437346731 | Theodore Luckey | Counselor | 1935 Bluegrass Ave, Louisville, KY 40215-1145 | 2007-10-01 |
| 1891900189 | Nikolaos Trichopoulos | Ophthalmology | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496569 | Nicole Kristina Doza | Counselor | 9720 Park Plaza Ave Unit 104, Louisville, KY 40241-2289 | 2020-08-06 |
| 1447860572 | Jordan Mceuen | Counselor | 645 S Roy Wilkins Ave Ste 100, Louisville, KY 40203-2072 | 2020-08-04 |
| 1023633674 | Ky Behavioral Solutions | Counselor | 12700 Townepark Way Ste 341, Louisville, KY 40243-2381 | 2020-06-10 |
| 1386284214 | Aa&associates of Kentucky LLC | Counselor | 3038 Breckenridge Ln Ste 204, Louisville, KY 40220-2195 | 2020-01-08 |
| 1861039661 | Campbellsville University | Counselor | 4420 Dixie Hwy Ste 230, Louisville, KY 40216-2986 | 2019-11-30 |
| 1720642374 | Yolanda Carnessali-powell | Counselor | 1448 S 15th St, Louisville, KY 40210-1838 | 2019-04-30 |
| 1538622295 | Stephanie Amber Gentile | Counselor | 1169 Eastern Pkwy Ste 1124, Louisville, KY 40217-1462 | 2019-04-10 |
| 1881166999 | Aileen M Bryant-wales | Counselor | 2133 W Market St, Louisville, KY 40212-1532 | 2018-12-31 |
| 1043710338 | Erin Dawn Jarrett | Counselor | 1939 Goldsmith Ln Ste 147, Louisville, KY 40218-3047 | 2018-02-13 |
| 1265946859 | Yolonda J Armstead | Counselor | 12730 Townepark Way Ste 201, Louisville, KY 40243-2303 | 2017-11-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
Please comment or provide details below to improve the information on JAMES WICKLIFFE.
| 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.