Jennifer Booth Courtney, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253869 Issued in KY

Practice address

1925 Frederica St Ste 200
Owensboro, KY 42301-4818

Phone

(270) 926-2484

Fax

(270) 685-6015

NPI assigned

Jan 5, 2015

Last updated

Feb 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Children's Services, Inc.

  • Mental Health Counselor
  • Mt Washington, KY
  • NPI 1992820849
  Medicare reassignment NPD
• Sunrise Children's Services

  dba Lakes and Rivers Region Foster Care - Owensboro

  • Foster Care Agency
  • Owensboro, KY
  • NPI 1417392820
  NPD (past)
• Sunrise Children's Services, Inc.

  dba Owensboro Family Services

  • Community/Behavioral Health Agency
  • Owensboro, KY
  • NPI 1881008597
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1043608797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOPE ST",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400477757",
            "telephone_number": "502-538-1000",
            "fax_number": "502-538-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 FREDERICA ST STE 200",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014818",
            "telephone_number": "270-926-2484",
            "fax_number": "270-685-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "JENNIFER",
        "middle_name": "BOOTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "7196",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100577710",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Cornerstone Counseling, LLC
• Counseling Associates
• Counseling Associates of Owensboro, PLC
• Counseling Connections, LLC
• Amanda Covaleski
• Cecelia Cox
• David Dewayne Cox
• Randy J Cox, MD
• Sandra B Cox, ARNP

• Clinical Social Worker in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.