Active NPI
Reba McGinnis, M.ED., LPCC
- Mental Health Counselor
- Bowling Green, KY
National Provider Identifier
1629491576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0331
- 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
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 | 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.