Jason Amyx, LPCC
Individual provider Active NPI Professional Counselor · Calvert City, KY
NPI 1104439355 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1104439355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 245735 (KY)
- Practice address
- 858 5TH Ave SE
Calvert City, KY 42029 - Phone
- (270) 559-8247
- NPI assigned
- Aug 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245735 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 245735 | KY | Yes |
Addresses
Primary practice location
858 5TH Ave SE
Calvert City, KY 42029
Mailing address
956 Fairview St
Benton, KY 42025-7360
Phone (270) 559-8247
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245735 | Other | KY | PROFESSIONAL LICENSE |
Other providers in Calvert City, KY
All providers in Calvert City, 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 Dec 4, 2025. 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.