Active NPI
Ginger B Lines, PH.D.
- Counseling Psychologist
- Noblesville, IN
National Provider Identifier
1912215260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20042450A
- Practice address
- 17840 Cumberland Rd
Noblesville, IN 46060-5409 - Phone
- (317) 574-1254
- Fax
- (317) 674-0060
- NPI assigned
- Sep 21, 2010
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Development & Aging Psychologist | 103TA0700X | 20042450A | IN | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 20042450A | IN | |
| Clinical Psychologist | 103TC0700X | 20042450A | IN | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 20042450A | IN | |
| Family Psychologist | 103TF0000X | 20042450A | IN | |
| Health Psychologist | 103TH0004X | 20042450A | IN | |
| Health Service Psychologist | 103TH0100X | 20042450A | IN | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 20042450A | IN | |
| Group Psychotherapy Psychologist | 103TP2701X | 20042450A | IN | |
| Counseling Psychologist | 103TC1900X | 20042450A | IN | Primary |
Addresses
Primary practice location
17840 Cumberland Rd
Noblesville, IN 46060-5409
Mailing address
9615 E 148TH St
Suite 1
Noblesville, IN 46060-4371
Phone (317) 574-1254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201000510 | Medicaid | IN |
Other names 1
- Ginger Leigh Burge
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042450A | IN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1912215260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 E 148TH ST",
"address_2": "SUITE 1",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604371",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17840 CUMBERLAND RD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605409",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES",
"first_name": "GINGER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IN",
"license": "20042450A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20042450A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201000510",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINGER",
"last_name": "BURGE",
"middle_name": "LEIGH",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.