APPALACHIAN WELLNESS, L.L.C. — NPI 1932566544 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1932566544

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

592 KY 15 SOUTH, SUITE 5, CAMPTON, KY, 41301

Official NPPES Practice Location

Practice Phone & Referral Fax

(606) 668-7393

Fax: (866) 718-4137

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932566544 (APPALACHIAN WELLNESS, L.L.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932566544` (NPI-2 Organization / Facility)
Provider / Legal Name	APPALACHIAN WELLNESS, L.L.C.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	592 KY 15 SOUTH, SUITE 5, CAMPTON, KY, 41301
Practice Telephone / Fax	Tel: (606) 668-7393 \| Fax: (866) 718-4137
Administrative Mailing Address	PO BOX 1136, CAMPTON, KY, 41301-1136
Enumeration & Last Sync	Enumerated: 2016-01-27 \| CMS Record Updated: 2016-01-27
Authorized Official	SHERI ROSE HAAS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

592 KY 15 SOUTH, SUITE 5, CAMPTON, KY, 41301

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (APPALACHIAN WELLNESS, L.L.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`273R00000X` — Psychiatric Unit Plain English: Licensed & Credentialed Hospital Units — Psychiatric Unit	State: KY \| License: `41931` \| Primary: Secondary
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: KY \| License: `PSYPPR00216468` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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APPALACHIAN WELLNESS, L.L.C. (NPI #1932566544)