Jacob Kantor, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4058979 Issued in KY

Practice address

300 W Dixie Ave Ste 200
Elizabethtown, KY 42701-1765

Phone

(270) 982-0855

NPI assigned

Jan 17, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Total Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1306609128

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1093526014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011765",
            "telephone_number": "270-982-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W DIXIE AVE STE 200",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011765",
            "telephone_number": "270-982-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "JACOB",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4058979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Judd
• Mary Joann Jury
• Navin R Kaini, MD
• Tim R Kaiser, RPH
• Kalon Health
• Carol D Karn
• Hannah Marie Kauffeld, APRN
• Marci Jo Kauffeld, MSCCC-SLP
• Scott Kaufman, PA-C
• Leslie Gayle Kearney

• All providers in Elizabethtown, KY
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.