Active NPI
Jill Renee Pawlowski, LPCC
- Professional Counselor
- Elsmere, KY
National Provider Identifier
1104361211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 297035
- Practice address
- 4135 Dixie Hwy
Elsmere, KY 41018-1815 - Phone
- (833) 510-4357
- NPI assigned
- Dec 28, 2016
- Last updated
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.2404188 | OH | |
| Professional Counselor | 101YP2500X | PC008682 | PA | |
| Professional Counselor | 101YP2500X | 297035 | KY | Primary |
Addresses
Primary practice location
4135 Dixie Hwy
Elsmere, KY 41018-1815
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other names 1
- Jill Renee Matthews
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297035 | KY | MD | Professional Counselor |
| E.2404188 | OH | MD | Professional Counselor |
| PC008682 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Behavioral Diagnostics and Treatment, LLC | Mental Health | Past | Accepting new patients |
| Brightview LLC | Past | Accepting new patients | |
| Associates in Behavioral Diagnostics and Treatment, LLC | Past | Accepting new patients | |
| Brightview, LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Methadone Clinic
- Nicholasville, KY
- NPI 1609462472
-
- Professional Counselor
- Coraopolis, PA
- NPI 1568731867
Mental Health
-
- Psychologist
- Moon TWP, PA
- NPI 1659649911
-
- Addiction Medicine (Internal Medicine) Physician
- Cincinnati, OH
- NPI 1659769446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1104361211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4135 DIXIE HWY",
"city": "ELSMERE",
"state": "KY",
"postal_code": "410181815",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLOWSKI",
"first_name": "JILL",
"middle_name": "RENEE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-28",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2404188",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008682",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "297035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "MATTHEWS",
"middle_name": "RENEE",
"credential": "LPCC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elsmere, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.