Active NPI
Robert Templin Rasnake, LPCC
- Professional Counselor
- Florence, KY
National Provider Identifier
1164730461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0521
- Practice address
- 75 Cavalier Blvd
Ste. 110
Florence, KY 41042-3950 - Phone
- (859) 594-4510
- Fax
- (859) 594-4519
- NPI assigned
- Sep 21, 2010
- Last updated
- Oct 30, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 0521 | KY | Primary |
Addresses
Primary practice location
75 Cavalier Blvd
Ste. 110
Florence, KY 41042-3950
Mailing address
75 Cavalier Blvd
Ste. 110
Florence, KY 41042-3950
Phone (859) 594-4510
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 |
|---|---|---|---|
| 0521 | KY | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ena, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1164730461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CAVALIER BLVD",
"address_2": "STE. 110",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410423950",
"telephone_number": "859-594-4510",
"fax_number": "859-594-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CAVALIER BLVD",
"address_2": "STE. 110",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410423950",
"telephone_number": "859-594-4510",
"fax_number": "859-594-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASNAKE",
"first_name": "ROBERT",
"middle_name": "TEMPLIN",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.