| Ridge Outpatient Counseling, Llc | |
|
3050 Rio Dosa Dr Lexington KY 40509-1540 | |
| (859) 269-2325 | |
| (859) 268-6472 |
| Full Name | Ridge Outpatient Counseling, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3050 Rio Dosa Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Terri W Hancock (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8592686455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Outpatient Counseling, Llc 3050 Rio Dosa Dr Lexington KY 40509-1540 Ph: (859) 269-2325 | Ridge Outpatient Counseling, Llc 3050 Rio Dosa Dr Lexington KY 40509-1540 Ph: (859) 269-2325 |
| NPI Number | 1922214956 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/12/2015 |
| Medicare PECOS PAC ID | 5991690471 |
|---|---|
| Medicare Enrollment ID | O20040216000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922214956 | NPI | - | NPPES |
| 65937526 | Medicaid | KY | |
| 7100247070 | Medicaid | KY |
| Provider Name | Jill Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235114877 PECOS PAC ID: 8224025564 Enrollment ID: I20040428000719 |
| Provider Name | David Shraberg |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1902816010 PECOS PAC ID: 4789662966 Enrollment ID: I20040713000910 |
| Provider Name | Maya Devi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063545879 PECOS PAC ID: 8224004346 Enrollment ID: I20040909000281 |
| Provider Name | Brian A Greenlee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306929724 PECOS PAC ID: 8224094974 Enrollment ID: I20041206000142 |
| Provider Name | Steven R Shelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215934310 PECOS PAC ID: 6406754910 Enrollment ID: I20050510000331 |
| Provider Name | Tamela G Gilbert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457361586 PECOS PAC ID: 8325071814 Enrollment ID: I20050915000145 |
| Provider Name | Michael J Rieser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598825358 PECOS PAC ID: 8123181419 Enrollment ID: I20090113000444 |
| Provider Name | Jean A Stodghill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790091080 PECOS PAC ID: 1850570490 Enrollment ID: I20110204000039 |
| Provider Name | Kelly J Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518960681 PECOS PAC ID: 6608062443 Enrollment ID: I20120301000852 |
| Provider Name | Laura Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710358650 PECOS PAC ID: 8729388384 Enrollment ID: I20151203001914 |
| Provider Name | Leigh Ann Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346720968 PECOS PAC ID: 6204189798 Enrollment ID: I20181031000281 |
| Provider Name | Wendy Harrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861977993 PECOS PAC ID: 8628321908 Enrollment ID: I20181102002413 |
| Provider Name | Nathan L Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306329388 PECOS PAC ID: 7618211855 Enrollment ID: I20181129001033 |
| Provider Name | Sherry L Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568929230 PECOS PAC ID: 5193065613 Enrollment ID: I20190320001823 |
| Provider Name | Lori Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033677646 PECOS PAC ID: 1951632199 Enrollment ID: I20191018002222 |
| Provider Name | Jackie Stethem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740848324 PECOS PAC ID: 2062844905 Enrollment ID: I20191115000215 |
| Provider Name | Amy Beth Penticuff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962058446 PECOS PAC ID: 2860808904 Enrollment ID: I20210315002361 |
| Provider Name | Allie A Carmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932830577 PECOS PAC ID: 7315322286 Enrollment ID: I20220913001132 |
| Provider Name | William M Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467175596 PECOS PAC ID: 5991154080 Enrollment ID: I20231214002672 |
| Provider Name | Daniella Gavito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003343518 PECOS PAC ID: 3375882897 Enrollment ID: I20231220001058 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
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Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Sozo Health Ky Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1718 Alexandria Dr, Lexington, KY 40504 Phone: 859-393-5711 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 |