# MOREHEAD STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOREHEAD STATE UNIVERSITY
- **Other names:** Morehead State University Counsel & Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689954232
- **Legal business name:** MOREHEAD STATE UNIVERSITY
- **Authorized official:** MRS. SHANNON SMITH STEPHENS DNP, APRN (DIRECTOR)
- **Authorized official phone:** (606) 783-2123

## Contact information

- **Practice address:** 112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
- **Practice address phone:** (606) 783-2885
- **Practice address fax:** (606) 783-9106
- **Mailing address:** 112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
- **Mailing address phone:** (606) 783-2885
- **Mailing address fax:** (606) 783-9106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | KY | — |
| 103T00000X | Psychologist | 0668 | KY | — |
| 1041C0700X | Clinical Social Worker | — | KY | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 207Q00000X | Family Medicine Physician | 03203 | KY | — |
| 363L00000X | Nurse Practitioner | 3004857 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3796P | KY | — |
| 363LF0000X | Family Nurse Practitioner | 3002104 | KY | — |

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 03/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000231892 | ANTHEM BCBS | — |
| 01 | — | 000000298213 | ANTHEM BCBS | KY |
| 01 | — | 000000609845 | ANTHEM BCBS | KY |
| 01 | — | 000000623843 | ANTHEM BCBS | KY |
| 05 | — | 2826311 | — | OH |
| 05 | — | 2973242 | — | OH |
| 05 | — | 30610026 | — | KY |
| 05 | — | 7100034230 | — | KY |
| 05 | — | 7100092610 | — | KY |
| 05 | — | 78010220 | — | KY |
| 01 | — | K021100 | MEDICARE GROUP | KY |
| 01 | — | P00754288 | RR MEDICARE | KY |