Active NPI
Stephanie Popovic, BHS
- Counselor
- Bowling Green, KY
National Provider Identifier
1801017413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 380 Suwannee Trail Street
Bowling Green, KY 42103 - Phone
- (270) 901-5000
- Fax
- (270) 781-0035
- NPI assigned
- May 1, 2007
- Last updated
- Apr 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
380 Suwannee Trail Street
Bowling Green, KY 42103
Mailing address
2325 Butterwood Way
Bowling Green, KY 42101-5217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30604011 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1801017413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 BUTTERWOOD WAY",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 SUWANNEE TRAIL STREET",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42103",
"telephone_number": "270-901-5000",
"fax_number": "270-781-0035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVIC",
"first_name": "STEPHANIE",
"credential": "BHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30604011",
"state": "KY"
}
],
"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 Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.