Active NPI
Caitlin Coomes
- Mental Health Counselor
- Bowling Green, KY
National Provider Identifier
1518625599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NA
- Practice address
- 1910 Lyda Ave
Bowling Green, KY 42104-3326 - Phone
- (270) 904-6567
- NPI assigned
- Dec 7, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NA | Primary |
Addresses
Primary practice location
1910 Lyda Ave
Bowling Green, KY 42104-3326
Mailing address
6336 Boston Spur
Philpot, KY 42366-9767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | KY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Counseling Associates | Mental Health | Current | Accepting new patients |
Locations
1910 Lyda Ave
Bowling Green, KY 42104
Phone (270) 479-6904
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.
-
- Mental Health Counselor
- Glasgow, KY
- NPI 1285938209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638835200000",
"number": "1518625599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6336 BOSTON SPUR",
"city": "PHILPOT",
"state": "KY",
"postal_code": "423669767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 LYDA AVE",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043326",
"telephone_number": "270-904-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOMES",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "NA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"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 Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.