Individual provider Active NPI

Jerry Rhineburger, CSW

  • Social Worker
  • Owensboro, KY
National Provider Identifier
1609316249
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
252460 Issued in KY
Practice address
1401 Spring Bank Dr
Box 1
Owensboro, KY 42303-7553
Phone
(270) 316-7332
NPI assigned
Mar 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 252460 KY Primary

Addresses

Primary practice location

1401 Spring Bank Dr
Box 1
Owensboro, KY 42303-7553

Mailing address

1401 Spring Bank Dr
Box 1
Owensboro, KY 42303-7553

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

LicenseStateTypeSpecialty
252460KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Connections, LLC PastSince Jan 13, 2018 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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1609316249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPRING BANK DR",
            "address_2": "BOX 1",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPRING BANK DR",
            "address_2": "BOX 1",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037553",
            "telephone_number": "270-316-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEBURGER",
        "first_name": "JERRY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.