CMS-1500 Box 24J / 33a • NPI
1952840860
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
103K00000X
Licensed & Credentialed Behavior Analyst
Box 32 Service Location & ZIP+4
925 DUDLEY PIKE, EDGEWOOD, KY, 41017-8120
✓ 9-Digit EDI 837 ZIP+4 (41017-8120)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952840860 (BLUEGRASS BEHAVIORAL HEALTH GROUP, LLC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952840860 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BLUEGRASS BEHAVIORAL HEALTH GROUP, LLC |
| Plain-English Specialty | Licensed & Credentialed Behavior Analyst NUCC Code: 103K00000X (Behavior Analyst) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 925 DUDLEY PIKE, EDGEWOOD, KY, 41017-8120 |
| Practice Telephone / Fax | Tel: (859) 360-3006 | Fax: (859) 360-3053 |
| Administrative Mailing Address | 12600 HILL COUNTRY BLVD STE R-100, BEE CAVE, TX, 78738-6748 |
| Enumeration & Last Sync | Enumerated: 2017-02-13 | CMS Record Updated: 2021-05-04 |
| Authorized Official | JONATHON CURLETT (CFO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103K00000X)
What Does Taxonomy Code 103K00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BLUEGRASS BEHAVIORAL HEALTH GROUP, LLC)
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
- 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 |
|---|---|
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
101YP2500X — Counselor, ProfessionalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: N/A | License: Verified | Primary: Secondary |
251S00000X — Community/Behavioral HealthPlain English: Licensed & Credentialed Community/Behavioral Health | State: N/A | License: Verified | Primary: Secondary |
103K00000X — Behavior AnalystPlain English: Licensed & Credentialed Behavior Analyst | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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