Individual provider Active NPI

Nathaniel Heltsley, LCSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1336810084
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
258207 Issued in KY
Practice address
661 31W Bypass
Suite G
Bowling Green, KY 42104-4968
Phone
(364) 203-9250
Fax
(270) 713-0007
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 265425 KY
Clinical Social Worker 1041C0700X 258207 KY Primary

Addresses

Primary practice location

661 31W Bypass
Suite G
Bowling Green, KY 42104-4968

Mailing address

5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104

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
265425KYMDAddiction (Substance Use Disorder) Counselor
258207KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1336810084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 SCOTTSVILLE RD STE 3",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047908",
            "telephone_number": "270-904-5104",
            "fax_number": "270-201-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 31W BYPASS",
            "address_2": "SUITE G",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044968",
            "telephone_number": "364-203-9250",
            "fax_number": "270-713-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTSLEY",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "265425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.