Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bluegrass Extended Care Services LLC

Organization Mental Health Counselor · NPI 1912274044

Bluegrass Extended Care Services LLC is a Mental Health Counselor in Lexington, Kentucky. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

989 Governors Ln Ste 240
Lexington, KY 40513-1175
Phone: (859) 338-3958
Fax: (859) 368-8135
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Mental Health Counselor Taxonomy 101YM0800X
Physician Assistant Taxonomy 363A00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1912274044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Richard — Owner · (859) 338-3958
NPI enumeratedNovember 17, 2011
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address989 Governors Ln Ste 240, Lexington, KY 40513-1175

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