Individual provider Active NPI

Robin Renee Phillips, LPCA

  • Mental Health Counselor
  • Glasgow, KY
National Provider Identifier
1972290435
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
263916 Issued in KY
Practice address
1411 North Race STR
Glasgow, KY 42141-3474
Phone
(270) 380-1944
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 263916 KY Primary

Addresses

Primary practice location

1411 North Race STR
Glasgow, KY 42141-3474

Mailing address

103 E South St
Munfordville, KY 42765-9023
Phone (606) 875-9733

Other practice location 1

102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Phone (270) 465-0078

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
263916KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

102 Winston Way
Ste 3
Campbellsville, KY 42718
Phone (270) 403-0560

1411 N Race St
Glasgow, KY 42141
Phone (270) 479-8900

103 E South St
Munfordville, KY 42765
Phone (270) 524-7939

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1972290435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E SOUTH ST",
            "city": "MUNFORDVILLE",
            "state": "KY",
            "postal_code": "427659023",
            "telephone_number": "606-875-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NORTH RACE STR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-380-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Winston Way Ste 3",
            "address_purpose": "LOCATION",
            "city": "Campbellsville",
            "state": "KY",
            "postal_code": "427184991",
            "country_code": "US",
            "telephone_number": "270-465-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBIN",
        "middle_name": "RENEE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "263916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.