Individual provider Active NPI

Rebelee C Sharp-Byrn, L.C.S.W.

  • Clinical Social Worker
  • Greensburg, KY
National Provider Identifier
1326115486
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1422 Issued in KY
Practice address
426 Commerce Drive
Greensburg, KY 42743
Phone
(270) 932-2424
Fax
(270) 932-2522
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1422 KY Primary

Addresses

Primary practice location

426 Commerce Drive
Greensburg, KY 42743

Mailing address

PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472

Other practice location 1

220 W Washington St
Glasgow, KY 42141-2416
Phone (270) 659-2823

Other identifiers 1

IdentifierTypeStateIssuer
82000985MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1422KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling, Inc Clinical Past Accepting new patients
Turning Point Counseling Center PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1326115486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-864-1472",
            "fax_number": "270-858-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 COMMERCE DRIVE",
            "city": "GREENSBURG",
            "state": "KY",
            "postal_code": "42743",
            "telephone_number": "270-932-2424",
            "fax_number": "270-932-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421412416",
            "country_code": "US",
            "telephone_number": "270-659-2823",
            "fax_number": "270-659-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP-BYRN",
        "first_name": "REBELEE",
        "middle_name": "C",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000985",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.