Individual provider Active NPI

Jessie Dayton, LPCC

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1043753296
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
168625 Issued in KY
Practice address
824 Euclid Ave Ste A102
Lexington, KY 40502-1785
Phone
(859) 365-0184
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 168625 KY Primary

Addresses

Primary practice location

824 Euclid Ave Ste A102
Lexington, KY 40502-1785

Mailing address

824 Euclid Ave Ste A102
Lexington, KY 40502-1785
Phone (859) 365-0184

Other practice location 1

1077 E Lexington Ave
Danville, KY 40422-1766
Phone (859) 365-0184

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240123004520 KY Practitioner - Mental Health Counselor 9234514654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mended Counseling and Trauma Services LLCGroup PAC ID 8325423742, 7 clinicians

Practice addresses (Care Compare)

824 Euclid Ave
Suite A102
Lexington, KY 40502-1785
Phone (859) 365-0184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
168625KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mended Counseling & Trauma Services Professional CurrentSince Feb 1, 2021 Accepting new patients
Mended Counseling & Trauma Services LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1077 E Lexington Ave
Danville, KY 40422
Phone (859) 236-3142

824 Euclid Ave
Ste A102
Lexington, KY 40502
Phone (859) 338-0006

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1043753296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 EUCLID AVE STE A102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021785",
            "telephone_number": "859-365-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 EUCLID AVE STE A102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021785",
            "telephone_number": "859-365-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1077 E Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221766",
            "country_code": "US",
            "telephone_number": "859-365-0184",
            "fax_number": "859-788-3049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYTON",
        "first_name": "JESSIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "168625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.