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THERAPEUTIC COLLABORATIVE
NPI 1629123443
Clinic/Center - Adolescent and Children Mental Health in Wilder, KY

Active since January 24, 2007
519 LICKING PIKE, WILDER, KY 41071(859) 572-0400(859) 442-3363 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Therapeutic Collaborative NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERAPEUTIC COLLABORATIVE (NPI 1629123443) is a healthcare organization registered as an adolescent and children mental health in Wilder, Kentucky and active in the NPI registry since January 2007. The organization lists Virginia Ellen Peppers, Partner, as its authorized official.

NPPES Registry Identity

NPI1629123443
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameTHERAPEUTIC COLLABORATIVE
Location Address519 LICKING PIKEWilder, KY 41071
Mailing Address519 Licking PikeWilder, KY 41071 · (859) 572-0400 · Fax (859) 442-3363
Phone(859) 572-0400
Fax(859) 442-3363
Organization SubpartNo
Authorized OfficialVirginia Ellen PeppersPartner · (859) 572-0400
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 17, 2011
✔ NPI 1629123443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X
519 LICKING PIKE, Wilder, KY 41071
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Other Identifiers 2

Medicaid65928897KY
Medicare ID-Type Unspecified0385301KY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDLIFT LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
DR. JAMES ADAM EPPLEY M.D.
Psychiatry & Neurology (Psychiatry)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
AKIKO MARUI LPCC
Counselor (Professional)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
MADIJA J. SANDY MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
KELLY J CLASGENS LPCC
Counselor (Professional)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
JENNIFER LYNN HAWKINS
Nurse Practitioner (Psychiatric/Mental Health)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400
MS. SALLY J SWEENEY
Counselor (Mental Health)
519 LICKING PIKE, SUITE 100
WILDER, KY 41071
Campbell County (859) 581-4273
MRS. KIMBERLY MICHELLE WITTE ARNP CS BC
Nurse Practitioner (Psychiatric/Mental Health)
519 LICKING PIKE
WILDER, KY 41071
Campbell County (859) 572-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Therapeutic Collaborative's NPI number?

The NPI number for Therapeutic Collaborative is 1629123443. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Therapeutic Collaborative located?

Therapeutic Collaborative is located at 519 Licking Pike, Wilder, KY 41071. The listed phone number is (859) 572-0400.

What is Therapeutic Collaborative's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Therapeutic Collaborative was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.