REBOUND RECOVERY LLC (NPI# 1962021329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962021329 |
| Entity Type | Organization |
| Organization Name | REBOUND RECOVERY LLC |
| Practice Address |
5 Linville Dr Ste 102 Paris KY 40361-2165 |
| Mailing Address |
7145 E Virginia St Ste 2000 Evansville IN 47715-9147 |
| Practice Telephone | 8593401807 |
| Mailing Telephone | 8129627894 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | TAMIA FISHER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8129627894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Legion Dr Ste 28, Lexington, KY 405042716 | 8595233477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077509 | Rebound Recovery LLC | Psychiatry & Neurology | 340 Legion Dr Ste 28, Lexington, KY 40504-2716 | 2017-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Rebound Recovery LLC | 2300 Walnut Street, Unit 288, Denver, CO 80205 |
| Street Address |
5 LINVILLE DR STE 102 |
| City | PARIS |
| State | KY |
| Zip Code | 40361-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124312780 | Megan B Begley | Social Worker | 5 Linville Dr Ste 102, Paris, KY 40361-2165 | 2011-06-01 |
| 1134635774 | Madison Elizabeth Mckenzie | Social Worker | 5 Linville Dr Ste 102, Paris, KY 40361-2165 | 2017-12-19 |
| 1548784085 | Alicia Fitzgerrel | Nurse Practitioner | 5 Linville Dr Ste 102, Paris, KY 40361-2165 | 2017-07-26 |
| 1841652005 | Megan Morris | Social Worker | 5 Linville Dr Ste 102, Paris, KY 40361-2165 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157739 | Maria Renee Koerner | Counselor | 5 Linville Dr., Ste 102, Paris, KY 40361 | 2018-06-12 |
| 1922353432 | Bluegrass Hearing Clinic, LLC | Audiologist | 20 E 5th St, Paris, KY 40361 | 2012-07-20 |
| 1376670828 | Robert Allen Biddle | Emergency Medicine | 4888 Lexington Rd, Paris, KY 40361 | 2007-02-28 |
| 1396801395 | Bourbon Family Dentistry | Dentist | 4223 A Lexington Rd, Paris, KY 40361 | 2006-12-28 |
| 1669535795 | Liza Levy | Family Medicine | 2017 South Main Street, Paris, KY 40361 | 2006-12-19 |
| 1114088770 | Wal-mart East, Lp | Technician/Technologist | 305 Letton Dr., Paris, KY 40361 | 2006-12-13 |
| 1235200205 | Mariam Susanne Fallahzadeh | Dentist | 4223a Lexington Road, Bourbon Family Dentistry Pllc, Paris, KY 40361 | 2006-11-13 |
| 1245313246 | Vargo Enterprises Inc | Clinical Medical Laboratory | 2017 South Main, Paris, KY 40361 | 2006-10-23 |
| 1831289131 | Kpi Therapy | Contractor | 436 Houston Oaks, Paris, KY 40361 | 2006-10-15 |
| 1184738999 | Chester Raymond Young Jr. | Family Medicine | 22 Clinic Dr, Paris, KY 40361 | 2006-08-18 |
| Find all providers in zip 40361 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896778 | Joann Catherine Ondrovik | Psychologist | 3430 Farm Road 195, Paris, TX 75462-3058 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144626458 | Kristi Pack | Psychologist | 921 S Lake Dr, Prestonsburg, KY 41653-1343 | 2014-11-13 |
| 1821210725 | George Raymond Ross | Psychologist | 60 Summertree Court, Nicholasville, KY 40356 | 2007-05-02 |
| 1063421030 | Giovannie C Eugenio | Psychologist | 754 S Hwy 27, Somerset, KY 42501 | 2006-08-07 |
| 1215470224 | Journeypure Kentucky Medical Group LLC | Psychologist | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2016-11-22 |
| 1548717754 | Stewart Ventures LLC | Psychologist | 3150 Custer Dr, Ste 300 and Ste 302, Lexington, KY 40517-4010 | 2016-09-06 |
| 1922419910 | Shelby Cook | Psychologist | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2014-05-13 |
| 1497175715 | Richard William Seim | Psychologist | 1000 S Fort Thomas Ave, Fort Thomas, KY 41075-2305 | 2014-04-25 |
| 1457572323 | Mark Anthony Toennis | Psychologist | 4150 Alexandria Pike, Suite 102, Cold Spring, KY 41076-3501 | 2007-05-01 |
| 1558416677 | Carman Ann Parker | Psychologist | 1098 S Mayo Trl, Suite 301, Pikeville, KY 41501-1546 | 2007-01-25 |
Please comment or provide details below to improve the information on REBOUND RECOVERY LLC.
| 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.