Active NPI
Telehealth Counseling of Ky, LLC
- Marriage & Family Therapist
- Bowling Green, KY
National Provider Identifier
1083279715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- TELEHEALTH COUNSELING OF KY, LLC
- Practice address
- 429 Adalynn Cir
Bowling Green, KY 42104-0001 - Phone
- (270) 779-9175
- NPI assigned
- May 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Purcell
- Title
- Credentialing
- Phone
- (270) 779-9175
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
429 Adalynn Cir
Bowling Green, KY 42104-0001
Mailing address
429 Adalynn Cir
Bowling Green, KY 42104-0001
Phone (270) 779-9175
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557273600000",
"number": "1083279715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 ADALYNN CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421040001",
"telephone_number": "270-779-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 ADALYNN CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421040001",
"telephone_number": "270-779-9175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELEHEALTH COUNSELING OF KY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A",
"authorized_official_last_name": "PURCELL",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "270-779-9175"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"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 May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.