Individual provider Active NPI

Christopher G Westerman, MA, LPCC, NCC, RPT-S

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1336295369
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104511 Issued in KY
Practice address
1306 Versailles Rd
Lexington, KY 40504-1796
Phone
(859) 259-2635
Fax
(859) 254-7874
NPI assigned
Jan 25, 2007
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 379 KY
Professional Counselor 101YP2500X 104511 KY Primary

Addresses

Primary practice location

1306 Versailles Rd
Lexington, KY 40504-1796

Mailing address

1306 Versailles Rd
Lexington, KY 40504-1796
Phone (859) 259-2635

Other identifiers 2

IdentifierTypeStateIssuer
30615058MedicaidKY
7100287390MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228003749 KY Practitioner - Mental Health Counselor 7517317829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
379KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Primary Health Care Center, Inc. Current Accepting new patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Bluegrass Primary Health Care Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

1306 Versailles Rd
Ste 120
Lexington, KY 40504
Phone (859) 259-2635

131 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 236-2507

Organizations & group practices 3

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1336295369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VERSAILLES RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041796",
            "telephone_number": "859-259-2635",
            "fax_number": "859-254-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTERMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "MA, LPCC, NCC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "379",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100287390",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.