Individual provider Active NPI

Olivia Brooke Robison, LPCA

  • Professional Counselor
  • Kirksey, KY
National Provider Identifier
1912756222
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
291708 Issued in KY
Practice address
1250 Old Soldier Creek Rd
Kirksey, KY 42054-9117
Phone
(270) 489-2594
Fax
(270) 489-2574
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 291708 KY Primary

Addresses

Primary practice location

1250 Old Soldier Creek Rd
Kirksey, KY 42054-9117

Mailing address

1250 Old Soldier Creek Rd
Kirksey, KY 42054-9117
Phone (270) 489-2594

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
291708KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neartown Inc CurrentSince May 19, 2024 Accepting new patients
Neartown Inc CurrentSince May 19, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1912756222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 OLD SOLDIER CREEK RD",
            "city": "KIRKSEY",
            "state": "KY",
            "postal_code": "420549117",
            "telephone_number": "270-489-2594",
            "fax_number": "270-489-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 OLD SOLDIER CREEK RD",
            "city": "KIRKSEY",
            "state": "KY",
            "postal_code": "420549117",
            "telephone_number": "270-489-2594",
            "fax_number": "270-489-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "OLIVIA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "291708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksey, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.