Jacqueline Nichole Felts, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

259521 Issued in KY

Practice address

700 Chestnut St
Bowling Green, KY 42101-2218

Phone

(270) 904-0055

Fax

(270) 904-5110

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Counseling LLCGroup PAC ID 7810227345, 6 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lighthouse Counseling LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1518525831
  Medicare reassignment Care Compare group NPD
• LHC, LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1033922851
  NPD

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1053986752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012218",
            "telephone_number": "270-904-0055",
            "fax_number": "270-904-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHESTNUT ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012218",
            "telephone_number": "270-904-0055",
            "fax_number": "270-904-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "JACQUELINE",
        "middle_name": "NICHOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Farrage Jr., M.D.
• John Fawbush
• Sherry L Faz, M.S. CCC-SLP
• Kirk A Fee, M.D.
• Martina R Fee, ARNP
• Zuliang Feng, KCSA
• Darren Scott Fentress, M.D.
• John Ferebee, CRNA
• Cheyla Marie Ferguson
• Kaitlin Tidmore Ferrell, MD

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, 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 Aug 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.