Individual provider Active NPI

Sallie Bette Robinson, MSSW, LCSW

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1821052309
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1575 Issued in KY
Practice address
1062 Wellington Way
Lexington, KY 40513-1200
Phone
(859) 219-9399
Fax
(859) 219-2398
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1575 KY Primary

Addresses

Primary practice location

1062 Wellington Way
Lexington, KY 40513-1200

Mailing address

1062 Wellington Way
Lexington, KY 40513-1200
Phone (859) 219-9399

Other identifiers 2

IdentifierTypeStateIssuer
000000334961OtherKYANTHEM BC/BS
82000951MedicaidKY

Other names 1

  • Bette Slone Robinson Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720001340 KY Practitioner - Clinical Social Worker 1254311400 Practice locations: Lexington, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1062 Wellington Way
Lexington, KY 40513-1200
Phone (859) 219-9399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1575KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health & Wellness Center PastSince Feb 1, 2012 Accepting new patients
Park View Psychiatric Services, PSC Past Accepting new patients
Psychiatric Associates Past Accepting new patients

Organizations & group practices 3

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1821052309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 WELLINGTON WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131200",
            "telephone_number": "859-219-9399",
            "fax_number": "859-219-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 WELLINGTON WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131200",
            "telephone_number": "859-219-9399",
            "fax_number": "859-219-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SALLIE",
        "middle_name": "BETTE",
        "name_prefix": "Ms.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000334961",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82000951",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETTE",
            "last_name": "ROBINSON",
            "middle_name": "SLONE",
            "credential": "MSSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.