Individual provider Active NPI

Jennifer Nicole Wheeler, LMFT

  • Marriage & Family Therapist
  • Bowling Green, KY
National Provider Identifier
1033538541
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0863 Issued in KY
Practice address
181 W Professional Park CT
Suite 1
Bowling Green, KY 42104-3250
Phone
(270) 843-5300
Fax
(270) 843-5383
NPI assigned
Apr 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0863 KY Primary

Addresses

Primary practice location

181 W Professional Park CT
Suite 1
Bowling Green, KY 42104-3250

Mailing address

PO Box 51322
Bowling Green, KY 42102-5622
Phone (270) 777-9283

Other names 1

  • Jennifer Nicole Meadors Former name

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
0863KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Counseling Services Marriage & Family Therapist Past Accepting new patients
Community Living in Kentucky, LLC Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1033538541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51322",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421025622",
            "telephone_number": "270-777-9283",
            "fax_number": "270-777-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W PROFESSIONAL PARK CT",
            "address_2": "SUITE 1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043250",
            "telephone_number": "270-843-5300",
            "fax_number": "270-843-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MEADORS",
            "middle_name": "NICOLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.