Individual provider Active NPI

Linly Evan Calixte, LPCC

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1073006649
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
260930 Issued in KY
Practice address
1910 Lyda Ave
Bowling Green, KY 42104-3326
Phone
(270) 904-6567
Fax
(270) 904-6570
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 260930 KY Primary

Addresses

Primary practice location

1910 Lyda Ave
Bowling Green, KY 42104-3326

Mailing address

104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 904-6567

Other practice location 1

2349 Russellville Rd
Bowling Green, KY 42101-3986
Phone (270) 282-8280

Other practice location 2

104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 678-4801

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
260930KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling Associates Mental Health CurrentSince May 5, 2024 Accepting new patients
Journeypure Paducah Past Accepting new patients
Journeypure Louisville, LLC Past Accepting new patients
Journeypure Kentucky Medical Group LLC Past Accepting new patients
Journeypure Bowling Green LLC Past Accepting new patients

Locations

1910 Lyda Ave
Bowling Green, KY 42104
Phone (270) 479-6904

104 Reynolds Rd
Glasgow, KY 42141
Phone (270) 678-4801

Organizations & group practices 5

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1073006649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 REYNOLDS RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411177",
            "telephone_number": "270-904-6567",
            "fax_number": "270-904-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 LYDA AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043326",
            "telephone_number": "270-904-6567",
            "fax_number": "270-904-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349 Russellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421013986",
            "country_code": "US",
            "telephone_number": "270-282-8280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411177",
            "country_code": "US",
            "telephone_number": "270-678-4801",
            "fax_number": "270-678-3866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALIXTE",
        "first_name": "LINLY",
        "middle_name": "EVAN",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "260930",
            "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 3, 2020; 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.