Individual provider Active NPI

Gatt Read Ware Sr., TLCADC, BIP

  • Addiction (Substance Use Disorder) Counselor
  • Bowling Green, KY
National Provider Identifier
1003303884
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
164501 Issued in KY
Practice address
1043 Pedigo Way Ste 30
Bowling Green, KY 42103-6124
Phone
(270) 495-1224
Fax
(270) 599-0023
NPI assigned
Apr 17, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 164501 KY Primary

Addresses

Primary practice location

1043 Pedigo Way Ste 30
Bowling Green, KY 42103-6124

Mailing address

1043 Pedigo Way Ste 30
Bowling Green, KY 42103-6124
Phone (270) 495-1224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164501KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hope Counseling Services, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1043 Pedigo Way
Ste 30
Bowling Green, KY 42103
Phone (270) 495-1224

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1003303884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY STE 30",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036124",
            "telephone_number": "270-495-1224",
            "fax_number": "270-599-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 PEDIGO WAY STE 30",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036124",
            "telephone_number": "270-495-1224",
            "fax_number": "270-599-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "GATT",
        "middle_name": "READ",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "TLCADC, BIP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "164501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.