James Petry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

294871 Issued in KY

Practice address

34 Erlanger Rd
Erlanger, KY 41018-1728

Phone

(859) 341-5782

Fax

(859) 341-5782

NPI assigned

Dec 5, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Critical Stress & Wellness Center, LLC

  • Psychologist
  • Erlanger, KY
  • NPI 1538749916

  Professional

  NPD
• Connor and Associates

  • Clinical Psychologist
  • Erlanger, KY
  • NPI 1417093915
  NPD (past)

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1073329975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ERLANGER RD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181728",
            "telephone_number": "859-341-5782",
            "fax_number": "859-341-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 ERLANGER RD",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410181728",
            "telephone_number": "859-341-5782",
            "fax_number": "859-341-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C2406280",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "294871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Otte
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• Bhoomika Patel
• Julie Ann Pauly, PT
• Ava Phelps
• Phoenix Soaring Counseling LLC
• Krystal Ann Plumitallo, CSW
• Brent A Plummer, APRN, MSN, PMHNP-BC
• Podiatry of Hamilton Inc

• Professional Counselor in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.