| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ADAM MITCHELL | 1881298727 | 2020-11-22 |
Adam Mitchell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881298727. Registration indicates Adam Mitchell is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. Adam Mitchell APRN PMHNP-BC |
| Practice Office Address | 3015 WILSON AVE LOUISVILLE, KY US |
| Practice Office Telephone | 5027744401 |
| Practice Office Fax | 5027724822 |
| Mailing Address | 3015 WILSON AVE LOUISVILLE, KY 402111969 US |
| Business Telephone | 5027744401 |
| Business Fax | 5027724822 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1028 Main St | Shelbyville, KY 400651315 | 5026472477 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 3015463
KY |
| K359900 | OTHER | KY | MEDICARE |
| 7100708040 | MEDICAID | KY |