Individual provider Active NPI

Chelsey Cole, LPCC

  • Professional Counselor
  • Bowling Green, KY
National Provider Identifier
1851887442
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
242171 Issued in KY
Practice address
1621 Scottsville Rd
Bowling Green, KY 42104-3244
Phone
(270) 746-6600
Fax
(270) 842-9008
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 242171 KY Primary

Addresses

Primary practice location

1621 Scottsville Rd
Bowling Green, KY 42104-3244

Mailing address

9940 Alvaton Rd
Alvaton, KY 42122-9657
Phone (270) 746-6600

Other identifiers 2

IdentifierTypeStateIssuer
242171OtherKYKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
7100559230MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsey.brooke@trabuegroup.org Direct

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

State licenses

LicenseStateTypeSpecialty
242171KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Familyworks Therapy, LLC Professional CurrentSince Jul 17, 2022 Accepting new patients

Locations

1621 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 746-6600

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1851887442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 ALVATON RD",
            "city": "ALVATON",
            "state": "KY",
            "postal_code": "421229657",
            "telephone_number": "270-746-6600",
            "fax_number": "270-842-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043244",
            "telephone_number": "270-746-6600",
            "fax_number": "270-842-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CHELSEY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "242171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "242171",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100559230",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsey.brooke@trabuegroup.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1621 Scottsville Rd",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421043244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 30, 2022; 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.