Active NPI
David J. Ralston, PHD, LCCC, ATC
- Pastoral Counselor
- Owensboro, KY
National Provider Identifier
1790714301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 15038
- Practice address
- 319 W 10TH St
Suite 102
Owensboro, KY 42301-2900 - Phone
- (270) 316-6960
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0074 | KY | |
| Pastoral Counselor | 101YP1600X | 15038 | KY | Primary |
Addresses
Primary practice location
319 W 10TH St
Suite 102
Owensboro, KY 42301-2900
Mailing address
319 W 10TH St
Suite 102
Owensboro, KY 42301-2900
Phone (270) 316-6960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00074 | Other | KY | NATIONAL ATHLETIC TRAINERS ASSOCIATION |
| 15038 | Other | NATIONAL CHRISTIAN COUNSELORS ASSOCIATION |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15038 | KY | MD | Pastoral Counselor |
| 0074 | KY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Training Ministries, Inc. | Pastoral | 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.
-
- Pastoral Counselor
- Owensboro, KY
- NPI 1932568417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455235200000",
"number": "1790714301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 W 10TH ST",
"address_2": "SUITE 102",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012900",
"telephone_number": "270-316-6960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 W 10TH ST",
"address_2": "SUITE 102",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423012900",
"telephone_number": "270-316-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "PHD, LCCC, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2016-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KY",
"license": "0074",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "KY",
"license": "15038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
"identifier": "00074",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL CHRISTIAN COUNSELORS ASSOCIATION",
"identifier": "15038",
"state": null
}
],
"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 Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.