Individual provider Active NPI

Mable Rowe Lineberger, PH.D.

  • Psychologist
  • Georgetown, KY
National Provider Identifier
1437250602
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0822 Issued in KY
Practice address
101 E College St
#1
Georgetown, KY 40324-1603
Phone
(502) 570-8400
Fax
(502) 570-9221
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 0822 KY
Cognitive & Behavioral Psychologist 103TB0200X 0822 KY
Clinical Psychologist 103TC0700X 0822 KY
Clinical Child & Adolescent Psychologist 103TC2200X 0822 KY
Psychologist 103T00000X 0822 KY Primary

Addresses

Primary practice location

101 E College St
#1
Georgetown, KY 40324-1603

Mailing address

101 E College St
#1
Georgetown, KY 40324-1603
Phone (502) 570-8400

Other identifiers 7

IdentifierTypeStateIssuer
TKY 2054OtherKYCLEARSPRINGS
93015OtherKYMENTAL HEALTH NETWORK
K013663OtherKYCHAMPUS
6102963OtherKYUNITED BEHAVIORAL HEALTH
044704OtherKYVALUE-OPTIONS
000000069184OtherKYBLUE CROSS BLUE SHIELD
C61009OtherKYCUMBERLAND HEALTHCARE

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0822KYMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437250602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E COLLEGE ST",
            "address_2": "#1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241603",
            "telephone_number": "502-570-8400",
            "fax_number": "502-570-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E COLLEGE ST",
            "address_2": "#1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241603",
            "telephone_number": "502-570-8400",
            "fax_number": "502-570-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBERGER",
        "first_name": "MABLE",
        "middle_name": "ROWE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0822",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "0822",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0822",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "KY",
            "license": "0822",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "0822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLEARSPRINGS",
            "identifier": "TKY 2054",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "93015",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "K013663",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6102963",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE-OPTIONS",
            "identifier": "044704",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000069184",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C61009",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.