Individual provider Active NPI

Robert Templin Rasnake, LPCC

  • Professional Counselor
  • Florence, KY
National Provider Identifier
1164730461
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0521 Issued in KY
Practice address
75 Cavalier Blvd
Ste. 110
Florence, KY 41042-3950
Phone
(859) 594-4510
Fax
(859) 594-4519
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0521KYMDMarriage & Family Therapist

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.

Verify at the official NPI Registry.