Screen Door Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

171215 Issued in KY

Legal business name

SCREEN DOOR COUNSELING, LLC

Practice address

400 E Main Ave
Suite 309
Bowling Green, KY 42101-6900

Phone

(270) 307-1935

NPI assigned

Apr 6, 2016

Last updated

Nov 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber RahimNPI 1033400924

Title

Owner

Phone

(270) 307-1935

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Denise Rahim, LPCC

  • Professional Counselor
  • Pleasant View, TN
  • NPI 1033400924
  Authorized official Same address or phone

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1376907378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN AVE",
            "address_2": "SUITE 309",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016900",
            "telephone_number": "270-307-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN AVE",
            "address_2": "SUITE 309",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421016900",
            "telephone_number": "270-307-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCREEN DOOR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-307-1935"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "171215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barry D. Sears, D.M.D.
• Nicole Marie Sebree
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• Tiffany Secula, LPCC-S
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• Mental Health Counselor in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.