Jessica Brook Charlton, L.P.C.A.
Individual provider Active NPI Professional Counselor · Clinton, KY
NPI 1104273077 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1104273077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 164504 (KY)
- Practice address
- 308 S Washington St Ste 200
Clinton, KY 42031-1347 - Phone
- (270) 913-2478
- Fax
- (270) 913-2479
- NPI assigned
- May 19, 2016
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164504 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Past |
Accepting new patients | |
| Lifeskills, Inc. | Past |
Accepting new patients |
Interoperability endpoints
- jessica.charlton@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 164504 | KY | Yes |
Addresses
Primary practice location
308 S Washington St Ste 200
Clinton, KY 42031-1347
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other providers in Clinton, KY
- Birchwood Nursing and Rehabilitation LLC
- Michael Shawn Boaz
- Jo Ann N Bolli
- John Garland Byassee
- Rick Canty
- Clinton and Hickman County Hospital, Inc.
- Clinton Dental Clinic,Inc.
- Clinton Pharmacy LLC
- Clinton Pharmacy LLC
- Clinton-Hickman County Ambulance Service Inc
All providers in Clinton, KY · Professional 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 Jan 21, 2026. 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.