Jolene Blevins, LPCA
Individual provider Active NPI Mental Health Counselor · Liberty, KY
NPI 1073014239 · NPPES record last updated Feb 23, 2018
Key facts
- NPI
- 1073014239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 175130 (KY)
- Practice address
- 322 Middleburg St
Liberty, KY 42539-3004 - Phone
- (606) 787-9472
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175130 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients | |
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 175130 | KY | Yes |
Addresses
Primary practice location
322 Middleburg St
Liberty, KY 42539-3004
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Other providers in Liberty, KY
- Britni Barnett
- Christol Barnett
- Michele F Beeler
- Beyond the Label LLC
- Ashely Blevins
- Bluegrass Clinic Liberty, PLLC
- Breece Wayne Hayes D.C., P.S.C.
- Lisa Buis
- Ashley E Cambron
- Aleta Cannon
All providers in Liberty, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.