Organization Active NPI

Casey Coursey LCSW Emdr

  • Group Psychotherapy Psychologist
  • Bowling Green, KY
National Provider Identifier
1023763786
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
CASEY COURSEY LCSW EMDR
Practice address
410 E 10TH Ave # 2C
Bowling Green, KY 42101-2212
Phone
(364) 203-8188
Fax
(949) 437-3743
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Casey Cassetty, LCSWNPI 1164891768
Title
Owner
Phone
(364) 203-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X NU Primary

Addresses

Primary practice location

410 E 10TH Ave # 2C
Bowling Green, KY 42101-2212

Mailing address

410 E 10TH Ave # 2C
Bowling Green, KY 42101-2212
Phone (364) 203-8188

National Provider Directory

National Provider Directory

Locations

410 E 10th Ave
#2C
Bowling Green, KY 42101
Phone (364) 203-8188

343 W 3rd St
Russellville, KY 42276

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1023763786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E 10TH AVE # 2C",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012212",
            "telephone_number": "364-203-8188",
            "fax_number": "949-437-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E 10TH AVE # 2C",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012212",
            "telephone_number": "364-203-8188",
            "fax_number": "949-437-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY COURSEY LCSW EMDR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "CASSETTY",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "364-203-8188",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "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 Feb 21, 2022; 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.