Individual provider Active NPI

Reba McGinnis, M.ED., LPCC

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1629491576
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0331 Issued in KY
Practice address
918 State St
2ND Floor
Bowling Green, KY 42101-2233
Phone
(270) 796-2012
Fax
(270) 796-2841
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0331 KY Primary

Addresses

Primary practice location

918 State St
2ND Floor
Bowling Green, KY 42101-2233

Mailing address

918 State St
2ND Floor
Bowling Green, KY 42101-2233
Phone (270) 796-2012

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1629491576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 STATE ST",
            "address_2": "2ND FLOOR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012233",
            "telephone_number": "270-796-2012",
            "fax_number": "270-796-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 STATE ST",
            "address_2": "2ND FLOOR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012233",
            "telephone_number": "270-796-2012",
            "fax_number": "270-796-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "REBA",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2014; 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.