Individual provider Active NPI

Robin Bashaw-Cordell, M.S., PCC-S, CTS

  • Professional Counselor
  • Beavercreek, OH
National Provider Identifier
1730458282
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0008328 Issued in OH
Practice address
3055 Rodenbeck Dr
Suite 4B
Beavercreek, OH 45432-2699
Phone
(937) 298-7808
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0008328 OH Primary

Addresses

Primary practice location

3055 Rodenbeck Dr
Suite 4B
Beavercreek, OH 45432-2699

Mailing address

PO Box 383
Tipp City, OH 45371-0383
Phone (937) 298-7808

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 Science

State licenses

LicenseStateTypeSpecialty
0008328OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thinkwell Counseling Center Past 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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1730458282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453710383",
            "telephone_number": "937-298-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 RODENBECK DR",
            "address_2": "SUITE 4B",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322699",
            "telephone_number": "937-298-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAW-CORDELL",
        "first_name": "ROBIN",
        "credential": "M.S., PCC-S, CTS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0008328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.