OrganizationNorthern Kentucky Behavioral HealthCounselorBehavioral Health & Social Service ProvidersPractice Address7000 Houston Rd Ste 15, Florence, KY 41042(859) 282-1208(859) 282-1202PECOS EnrollmentBased on the most recent information from CMS, provider Northern Kentucky Behavioral Health does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1265542203Provider TypeOrganizationFull NameNorthern Kentucky Behavioral HealthSubpartNoEnumeration Date8/30/2006Last Updated1/5/2017Contact InformationPractice LocationPractice Address7000 Houston Rd Ste 15, Florence, KY 41042Phone(859) 282-1208Fax(513) 297-0506Mailing LocationMailing Address7000 Houston Rd Ste 15, Florence, KY 41042-4882Phone(859) 282-1202Fax(859) 746-1496Authorized OfficialNameFrost, Randall D (President)Phone(859) 282-1202Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense104006KentuckyProvider IdentifiersIDDescriptionIssuerID7100286970DescriptionMedicaidIssuerUnlistedKentucky