Active NPI
Jan Marie Trabue
- Professional Counselor
- Alvaton, KY
National Provider Identifier
1093922239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- KY-0174
- Practice address
- 9940 Alvaton Rd
Alvaton, KY 42122-9657 - Phone
- (270) 746-6600
- Fax
- (270) 842-9008
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | KY-0174 | KY | Primary |
Addresses
Primary practice location
9940 Alvaton Rd
Alvaton, KY 42122-9657
Mailing address
9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone (270) 746-6600
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.
-
- Community/Behavioral Health Agency
- Bowling Green, KY
- NPI 1588871743
Professional
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0174 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familyworks Therapy, LLC | Professional | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1093922239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9940 ALVATON RD",
"city": "ALVATON",
"state": "KY",
"postal_code": "421229657",
"telephone_number": "270-746-6600",
"fax_number": "270-842-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9940 ALVATON RD",
"city": "ALVATON",
"state": "KY",
"postal_code": "421229657",
"telephone_number": "270-746-6600",
"fax_number": "270-842-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRABUE",
"first_name": "JAN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "KY-0174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alvaton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.