Samantha Gatlin
Individual provider Active NPI Mental Health Counselor · Bowling Green, KY
NPI 1972109189 · NPPES record last updated Mar 29, 2025
Key facts
- NPI
- 1972109189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908 - Phone
- (270) 904-5104
- Fax
- (270) 201-5980
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416003273 | KY | Practitioner - Mental Health Counselor | 8224553789 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KW Consulting, LLC | Mental Health | Current |
Accepting new patients |
Locations
5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908
Mailing address
5966 Scottsville Rd Ste 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104
Other providers in Bowling Green, KY
- Jessica Gaskins
- Joseph C Gass
- Amy Lane Gassaway
- Gateway Counseling Services
- Rebecca Gatlin
- Sandeep Gautam
- Laura Ashley Gay
- Amy Carter Gearlds
- Cory Gearlds
- April Geary
All providers in Bowling Green, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.