Individual provider Active NPI

Jennifer Kay Dieman, MED, LPCC

  • Mental Health Counselor
  • Crestview Hills, KY
National Provider Identifier
1023642824
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
287106 Issued in KY
Practice address
350 Thomas More Pkwy Ste 160
Crestview Hills, KY 41017-5460
Phone
(859) 600-6990
Fax
(859) 927-3171
NPI assigned
Mar 2, 2020
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 287106 KY Primary

Addresses

Primary practice location

350 Thomas More Pkwy Ste 160
Crestview Hills, KY 41017-5460

Mailing address

350 Thomas More Pkwy Ste 160
Crestview Hills, KY 41017-5460
Phone (859) 600-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241120000983 KY Practitioner - Mental Health Counselor 9234664897 Reassigns benefits to 2 organizations
I20260624001404 OH Practitioner - Mental Health Counselor 9234664897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Harmony LLC Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Bluegrass Behavioral Health Group, LLC Mental Health PastSince May 17, 2020 Accepting new patients

Locations

350 Thomas More Pkwy
Ste 160
Crestview Hills, KY 41017
Phone (859) 600-6990

Organizations & group practices 3

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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1023642824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY STE 160",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175460",
            "telephone_number": "859-600-6990",
            "fax_number": "859-927-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY STE 160",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175460",
            "telephone_number": "859-600-6990",
            "fax_number": "859-927-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEMAN",
        "first_name": "JENNIFER",
        "middle_name": "KAY",
        "credential": "MED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "287106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.