Active NPI
Whitnie Wolsey, BCBA, LBA
- Behavior Analyst
- Russell Springs, KY
National Provider Identifier
1477034627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 265716
- Practice address
- 2443 Lakeway Drive
Russell Springs, KY 42642-4264 - Phone
- (606) 416-4194
- NPI assigned
- Aug 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Behavior Analyst | 103K00000X | 265716 | KY | Primary |
Addresses
Primary practice location
2443 Lakeway Drive
Russell Springs, KY 42642-4264
Mailing address
632 Nelson Rd
Russell Springs, KY 42642-7950
Phone (606) 416-4194
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 |
|---|---|---|---|
| 265716 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unlimited Possabilities, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Russell Springs, KY
- NPI 1629701735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1477034627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 NELSON RD",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426427950",
"telephone_number": "606-416-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2443 LAKEWAY DRIVE",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426424264",
"telephone_number": "606-416-4194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLSEY",
"first_name": "WHITNIE",
"credential": "BCBA, LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-26",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "KY",
"license": "265716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russell Springs, KY
- Samantha Wesley, APRN
- Westlake Primary Care of Russell County Medical Group
- Westlake Primary Care of Russell County Nursing Group
- Sheila Whippo, LPCA
- Lindsey Smith Wilson, PHARMD
- Women Finding Freedom Thru Recovery LLC
- Dawn Andrea Woodroof, MD
- Charlton Wooldridge, BSW, CSA, APSS
- Shannon R Young, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.