Active NPI
Virginia Gilpin
- Professional Counselor
- Louisville, KY
National Provider Identifier
1780972729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1688
- Practice address
- 914 E Broadway
2ND Floor
Louisville, KY 40204-1037 - Phone
- (502) 589-8600
- Fax
- (502) 589-8771
- NPI assigned
- Jul 12, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1255 | KY | |
| Counselor | 101Y00000X | 1688 | KY | |
| Professional Counselor | 101YP2500X | 1688 | KY | Primary |
| Professional Counselor | 101YP2500X | 1255 | KY |
Addresses
Primary practice location
914 E Broadway
2ND Floor
Louisville, KY 40204-1037
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1255 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
1030 Monarch St
Ste 100
Lexington, KY 40513
Phone (844) 468-5050
100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880
Interoperability endpoints
- bbh.virginiagilpin@140103.advancedmd-direct.com
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": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1780972729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MUHAMMAD ALI BLVD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 E BROADWAY",
"address_2": "2ND FLOOR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402041037",
"telephone_number": "502-589-8600",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILPIN",
"first_name": "VIRGINIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "1255",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "1688",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1688",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "1255",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.