Active NPI
Teresa A Robinson, LPCC
- Counselor
- Bowling Green, KY
National Provider Identifier
1376920181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1744
- Practice address
- 181 W Professional Park CT Ste 1
Bowling Green, KY 42104-3250 - Phone
- (270) 843-5300
- Fax
- (270) 843-5383
- NPI assigned
- Apr 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1744 | KY | Primary |
Addresses
Primary practice location
181 W Professional Park CT Ste 1
Bowling Green, KY 42104-3250
Mailing address
PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY-1744 | Other | KY | KY LICENSE NUMER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1744 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Counseling Services | Counselor | Past | Accepting new patients |
| Community Living in Kentucky, LLC | Counselor | Past | 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.
-
- Community/Behavioral Health Agency
- Murray, KY
- NPI 1518281419
Counselor
-
- Community/Behavioral Health Agency
- Bowling Green, KY
- NPI 1508278458
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1376920181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51322",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421025622",
"telephone_number": "270-777-9283",
"fax_number": "270-777-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W PROFESSIONAL PARK CT STE 1",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043250",
"telephone_number": "270-843-5300",
"fax_number": "270-843-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TERESA",
"middle_name": "A",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "1744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LICENSE NUMER",
"identifier": "KY-1744",
"state": "KY"
}
],
"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 Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.