CHESTNUT PARK PROFESSIONALS, LLC
NPI 1265574396
Psychologist in Bowling Green, KY

Active since February 13, 2007
1215 HIGH ST, BOWLING GREEN, KY 42101(270) 782-1116(270) 782-9108 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chestnut Park Professionals, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESTNUT PARK PROFESSIONALS, LLC (NPI 1265574396) is a healthcare organization registered as a psychologist in Bowling Green, Kentucky and active in the NPI registry since February 2007. The organization lists Corrie J Vos, Owner, as its authorized official.

NPPES Registry Identity

NPI1265574396
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCHESTNUT PARK PROFESSIONALS, LLC
Location Address1215 HIGH STBowling Green, KY 42101-2541
Mailing Address1215 High StBowling Green, KY 42101-2541 · (270) 782-1116 · Fax (270) 782-9108
Fax(270) 782-9108
Organization SubpartNo
Authorized OfficialCorrie J VosOwner · (270) 782-1116
Enumeration DateFebruary 13, 2007
Last NPPES UpdateApril 12, 2012
✔ NPI 1265574396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in KY · 0670
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1215 HIGH ST, Bowling Green, KY 42101

Other Identifiers 1

Medicare ID-Type Unspecified7485KY · Medicare Group Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chestnut Park Professionals, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Chestnut Park Professionals, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Clinical Psychologist
NPI 1548398183
1215 HIGH ST
Bowling Green, KY 42101
(270) 781-1116
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497049977
1215 HIGH ST
Bowling Green, KY 42101
(270) 782-1116
✔ PECOSSame address
Clinical Social Worker
NPI 1902274913
1215 HIGH ST
Bowling Green, KY 42101
(270) 782-1116
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1245898493
1910 LYDA AVE
Bowling Green, KY 42104
(270) 904-6567
✔ PECOS✔ Accepts Medicare1.7 mi
Clinical Social Worker
NPI 1669549739
1030 SHIVE LN
Bowling Green, KY 42103
(270) 792-7058
✔ PECOS✔ Accepts Medicare3.0 mi
Mental Health Counselor
NPI 1841163110
475 HOLLAND BROS RD
Woodburn, KY 42170
(270) 782-1116
✔ PECOS14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chestnut Park Professionals, LLC's NPI number?

The NPI number for Chestnut Park Professionals, LLC is 1265574396. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Chestnut Park Professionals, LLC located?

Chestnut Park Professionals, LLC is located at 1215 High St, Bowling Green, KY 42101. The listed phone number is (270) 782-1116.

What is Chestnut Park Professionals, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Chestnut Park Professionals, LLC enrolled in Medicare?

Yes. Chestnut Park Professionals, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chestnut Park Professionals, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Chestnut Park Professionals, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Clinical Psychologist (2) and Mental Health Counselor (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chestnut Park Professionals, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Chestnut Park Professionals, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chestnut Park Professionals, LLC was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.