Jessica Lynn Speelman, M.ED., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

262439 Issued in KY

Practice address

125 Quinn Dr
Nicholasville, KY 40356-1370

Phone

(859) 241-3085

Fax

(877) 712-3835

NPI assigned

Sep 4, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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.

• Sakura Behavioral Health LLC

  • Professional Counselor
  • Nicholasville, KY
  • NPI 1326663766
  NPD Authorized official
• Trainings Unlimited

  • Social Worker
  • Paris, KY
  • NPI 1154738052
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1093183287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 QUINN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561370",
            "telephone_number": "859-241-3085",
            "fax_number": "877-712-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 QUINN DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403561370",
            "telephone_number": "859-241-3085",
            "fax_number": "877-712-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEELMAN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.ED., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "262439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100673010",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PROVIDER BILLING NUMBER",
            "identifier": "CS2028500102",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shalanda Smith
• Jon Smorol, PT
• Stephanie Faye Snyder, NREMT-B
• Katelyn Spain, DMD
• Speech Pathology Associates 20
• Larry G Springate, PSYD
• Sheryl Ann Stack, APRN
• Emma Stairs
• Robin Marie Stepp, OTR/L
• Alexandra Lee Steury, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.