Emily Claybourn, LPCA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

276571 Issued in KY

Practice address

1011 Lehman Ave Ste 103
Bowling Green, KY 42103-6515

Phone

(270) 393-9834

Fax

(270) 393-9835

NPI assigned

Oct 9, 2019

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wilson Counseling LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1427480060
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1255973574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-393-9834",
            "fax_number": "270-393-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-393-9834",
            "fax_number": "270-393-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBOURN",
        "first_name": "EMILY",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "276571",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "260206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Clark
• Terrell Clark
• Tara Brooke Clarke, APRN
• Clarksville Limb & Brace & Rehab., Inc. (Bowling Green Orthotics & Prosthetics)
• Jillian Victoria Clary, DNAP, CRNA
• Ashley Clayton
• Clear Vision Collaborative LLC
• Nicole A Clement, CSW
• Billy Kevin Clemmons, D.M.D.
• Kera Clinard, RBT

• Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.