Passage Behavioral Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PASSAGE BEHAVIORAL HEALTH PLLC

Practice address

1707 Cumberland Falls Hwy Ste L6
Corbin, KY 40701-2745

Phone

(606) 656-4020

NPI assigned

Jul 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gina L Bowlin, LCSW, LCADCNPI 1114591773

Title

Owner, Therapist

Phone

(606) 620-3936

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Lori Bowlin, LCSW

  • Clinical Social Worker
  • Corbin, KY
  • NPI 1114591773

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Joy L Herbert-Neal

  • Clinical Social Worker
  • Corbin, KY
  • NPI 1205330172
  Medicare reassignment NPD

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1073341285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1691",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021691",
            "telephone_number": "606-656-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 CUMBERLAND FALLS HWY STE L6",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012745",
            "telephone_number": "606-656-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "606-620-3936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Dillon Partin, RPH
• Kimberly Ann Partin, BS
• Matthew Partin
• Rick D Partin, BS
• Nikhil Sharad Parulekar, DO
• Elaine Passow Capobianco, LCSW
• Neil Patil, NP
• Usha Patil, M.D.
• Stephanie Patin
• Cymbre Lin Patrick, LCSW

• Clinical Social Worker in Corbin, KY
• Providers in Corbin, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.