Organization Active NPI

Willow Oak Counseling

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1922431410
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2013-023 Issued in KY
Legal business name
WILLOW OAK COUNSELING
Practice address
2646 Frankfort Ave
Louisville, KY 40206-2572
Phone
(573) 721-1936
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Rebekah L Burke, MSSW, CSW, MFTA
Title
Therapist
Phone
(573) 721-1936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2013-023 KY Primary

Addresses

Primary practice location

2646 Frankfort Ave
Louisville, KY 40206-2572

Mailing address

2646 Frankfort Ave
Louisville, KY 40206-2572
Phone (573) 721-1936

National Provider Directory

National Provider Directory
Tax ID family
Willow Oak Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2646 Frankfort Ave
Louisville, KY 40206
Phone (502) 436-9504

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1922431410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062572",
            "telephone_number": "573-721-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062572",
            "telephone_number": "573-721-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW OAK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "573-721-1936",
        "authorized_official_credential": "MSSW, CSW, MFTA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "2013-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.