| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | |
|
130 Southern School Rd Somerset KY 42501-3223 | |
| (606) 679-4782 | |
| (606) 678-5296 |
| Full Name | Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 130 Southern School Rd, Somerset, Kentucky |
| Authorized Official Name and Position | Jack Lewis (HR DIRECTOR) |
| Authorized Official Contact | 6066794782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. 130 Southern School Rd Somerset KY 42501-3223 Ph: (606) 679-4782 | Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. 130 Southern School Rd Somerset KY 42501-3223 Ph: (606) 679-4782 |
| NPI Number | 1336172642 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 12/26/2013 |
| Medicare PECOS PAC ID | 3375536717 |
|---|---|
| Medicare Enrollment ID | O20040403000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336172642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800019 (Kentucky) | Primary |
| Provider Name | Kathy Vincent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356313423 PECOS PAC ID: 6800786658 Enrollment ID: I20040317000196 |
| Provider Name | Christopher K Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043314149 PECOS PAC ID: 4587642335 Enrollment ID: I20040709000150 |
| Provider Name | Victoria S Yunker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043379886 PECOS PAC ID: 0042287849 Enrollment ID: I20040913000145 |
| Provider Name | Ashok K Lakhiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871543553 PECOS PAC ID: 9537117882 Enrollment ID: I20060210000581 |
| Provider Name | Angela L Feese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639121965 PECOS PAC ID: 0547369688 Enrollment ID: I20070630000003 |
| Provider Name | Lynda K Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801079660 PECOS PAC ID: 0941371322 Enrollment ID: I20080612000040 |
| Provider Name | Barbara A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336111574 PECOS PAC ID: 5698849800 Enrollment ID: I20080806000584 |
| Provider Name | Robert L Caudill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154346435 PECOS PAC ID: 4284791070 Enrollment ID: I20090323000306 |
| Provider Name | Regina L Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841259272 PECOS PAC ID: 0244380327 Enrollment ID: I20090611000174 |
| Provider Name | Karen Bennett Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558594838 PECOS PAC ID: 6901942739 Enrollment ID: I20091008000656 |
| Provider Name | Kelvin T Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730377508 PECOS PAC ID: 0941346506 Enrollment ID: I20091013000187 |
| Provider Name | Erika J Ruth |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1053511949 PECOS PAC ID: 9032258793 Enrollment ID: I20091209000495 |
| Provider Name | Shelia F Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629300710 PECOS PAC ID: 8820124225 Enrollment ID: I20100324000965 |
| Provider Name | Rose Mccray Douglass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902955206 PECOS PAC ID: 4385832401 Enrollment ID: I20101216000007 |
| Provider Name | Lenora F Debord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801189261 PECOS PAC ID: 3678751187 Enrollment ID: I20110706000187 |
| Provider Name | Mark C Hyatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952351041 PECOS PAC ID: 5698949501 Enrollment ID: I20111110000473 |
| Provider Name | Charles Nathan Saucedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285943977 PECOS PAC ID: 0941464358 Enrollment ID: I20120615000188 |
| Provider Name | Erik Dennis Goodwyn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356422380 PECOS PAC ID: 0840455069 Enrollment ID: I20120712000788 |
| Provider Name | Melissa G Judd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649593864 PECOS PAC ID: 0143465146 Enrollment ID: I20130322000085 |
| Provider Name | Connie L Antle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295754067 PECOS PAC ID: 5597902775 Enrollment ID: I20130507000345 |
| Provider Name | Tina M Creason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205179009 PECOS PAC ID: 7214175207 Enrollment ID: I20130603000693 |
| Provider Name | Haojiang Huang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942325139 PECOS PAC ID: 7719087030 Enrollment ID: I20130705000316 |
| Provider Name | Susan D Mings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548445901 PECOS PAC ID: 5092957068 Enrollment ID: I20130805000602 |
| Provider Name | Mikki Page |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013058494 PECOS PAC ID: 2365767746 Enrollment ID: I20150205001066 |
| Provider Name | Kristina E Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922359439 PECOS PAC ID: 3072831163 Enrollment ID: I20150422000885 |
| Provider Name | Christopher Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447455969 PECOS PAC ID: 9133352594 Enrollment ID: I20150616000927 |
| Provider Name | Kelli N Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710380035 PECOS PAC ID: 7810268711 Enrollment ID: I20170811000708 |
| Provider Name | Angela Jo Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003251612 PECOS PAC ID: 9436412533 Enrollment ID: I20180423002278 |
| Provider Name | Cuneyt Tegin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265850234 PECOS PAC ID: 1456626530 Enrollment ID: I20180727001767 |
| Provider Name | Jessica A Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154710283 PECOS PAC ID: 9133463524 Enrollment ID: I20181212001718 |
| Provider Name | Jill M Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609043736 PECOS PAC ID: 4082954987 Enrollment ID: I20190312002230 |
| Provider Name | Patricia D Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477381 PECOS PAC ID: 4587992771 Enrollment ID: I20190826003844 |
| Provider Name | Lauren Paige Ollery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003338120 PECOS PAC ID: 9234565672 Enrollment ID: I20200204000924 |
| Provider Name | Tonia Skaggs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932657749 PECOS PAC ID: 4880014570 Enrollment ID: I20201019002342 |
| Provider Name | Irma L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588309272 PECOS PAC ID: 4688053119 Enrollment ID: I20220614000860 |
| Provider Name | Huai Li Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972166841 PECOS PAC ID: 3577942119 Enrollment ID: I20220628001115 |
| Provider Name | Jessica Diane Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427790039 PECOS PAC ID: 2365823473 Enrollment ID: I20220721000482 |
| Provider Name | Janice James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396234035 PECOS PAC ID: 2264751635 Enrollment ID: I20230824003595 |
| Provider Name | Ashely B Blevins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821565557 PECOS PAC ID: 0749637338 Enrollment ID: I20231102003524 |
| Provider Name | Pamela J Veach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417209461 PECOS PAC ID: 7012367972 Enrollment ID: I20231219002292 |
| Provider Name | Christol R Barnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669027173 PECOS PAC ID: 4688025232 Enrollment ID: I20240108004087 |
| Provider Name | Mindy L Blakeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205325974 PECOS PAC ID: 1658722202 Enrollment ID: I20240108004192 |
| Provider Name | Jessica A Butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417342825 PECOS PAC ID: 8325499965 Enrollment ID: I20240109001023 |
| Provider Name | Libby J Burris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518994474 PECOS PAC ID: 1557712858 Enrollment ID: I20240111001576 |
| Provider Name | Sara Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932488640 PECOS PAC ID: 9638520794 Enrollment ID: I20240112002816 |
| Provider Name | Angel Hadley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558719179 PECOS PAC ID: 4688017122 Enrollment ID: I20240212002382 |
| Provider Name | Angelia S Bryant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770868234 PECOS PAC ID: 4284072299 Enrollment ID: I20240409003687 |
| Provider Name | Kenneth A Garvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457763385 PECOS PAC ID: 6406135441 Enrollment ID: I20241126002850 |
| Provider Name | Dorothy L Papineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013746650 PECOS PAC ID: 3779018742 Enrollment ID: I20241127002580 |
| Provider Name | Jamie Ford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417609793 PECOS PAC ID: 8628599412 Enrollment ID: I20250310001996 |
Hope Mental Health Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 411 Crab Orchard Rd, Somerset, KY 42503 Phone: 606-485-4673 Fax: 606-485-4600 | |
All In Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Richie Ln Ste C, Somerset, KY 42503 Phone: 606-425-9112 | |
Ethas Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Enterprise Dr, Somerset, KY 42501 Phone: 606-679-6995 Fax: 606-451-9465 | |
Living Rivers Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 378 Meadowcrest Dr, Somerset, KY 42503 Phone: 606-383-1189 | |
Wellspring Counseling Ky Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Belmont Ave, Somerset, KY 42501 Phone: 606-687-2038 Fax: 606-200-3654 | |
Susan J. Miller, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Richie Ln, Suite C, Somerset, KY 42503 Phone: 606-305-3791 Fax: 606-678-0603 | |
Specialized Alternatives For Families And Youth Of Kentucky - Somerset Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3540 S Highway 27, Suite 4, Somerset, KY 42501 Phone: 606-679-1815 Fax: 606-451-1631 |