Emerald Therapy Center, LLC
NPI 1205657384ActiveOrganization· General Practice· Paducah, KY
General Practice in Paducah, Kentucky, registered in NPPES in October 2024, part of Emerald Therapy Center LLC. The authorized official on file is Shelly Beth Baer, LCSW, Owner.
Overview
| NPI | 1205657384 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Emerald Therapy Center LLC |
| NPI issued | Oct 21, 2024 |
| Last updated in NPPES | Oct 21, 2024 |
| Certified by provider | Oct 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|