Individual provider Active NPI

Andrew Gregory Skaggs, LPCC

  • Professional Counselor
  • Bowling Green, KY
National Provider Identifier
1346565207
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
163465 Issued in KY
Practice address
948 Elm St
Suite 2
Bowling Green, KY 42101-2277
Phone
(270) 266-1188
Fax
(270) 908-2880
NPI assigned
Apr 5, 2010
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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 163465 KY Primary

Addresses

Primary practice location

948 Elm St
Suite 2
Bowling Green, KY 42101-2277

Mailing address

948 Elm St
Suite 2
Bowling Green, KY 42101-2277
Phone (270) 266-1188

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
163465KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow Wood Counseling, LLC Professional Current Accepting new patients
Harden and Skaggs Inc. Professional PastSince Dec 25, 2017 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, 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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1346565207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 ELM ST",
            "address_2": "SUITE 2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012277",
            "telephone_number": "270-266-1188",
            "fax_number": "270-908-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 ELM ST",
            "address_2": "SUITE 2",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012277",
            "telephone_number": "270-266-1188",
            "fax_number": "270-908-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "ANDREW",
        "middle_name": "GREGORY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "163465",
            "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 Sep 29, 2016; 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.