Individual provider Active NPI

Jolene Rene Poteet, LPCA

  • Mental Health Counselor
  • Glasgow, KY
National Provider Identifier
1104585033
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
106 W Front St
Glasgow, KY 42141-2804
Phone
(270) 904-5104
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 296136 KY
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

106 W Front St
Glasgow, KY 42141-2804

Mailing address

100 Parrish Rd
Cave City, KY 42127-8947
Phone (270) 404-1294

Other practice location 1

104 Reynolds Rd
Glasgow, KY 42141-1177
Phone (270) 216-2694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410001970 KY Practitioner - Mental Health Counselor 5991229007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KW Consulting LLCGroup PAC ID 6901291756, 26 clinicians

Practice addresses (Care Compare)

5966 Scottsville Rd
Suite 3
Bowling Green, KY 42104-7908
Phone (270) 904-5104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KW Consulting, LLC Mental Health CurrentSince Jan 28, 2025 Accepting new patients

Locations

5966 Scottsville Rd
Ste 3
Bowling Green, KY 42104
Phone (270) 791-8189

122 Ensminger Dr
Glasgow, KY 42141
Phone (270) 904-5104

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1104585033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARRISH RD",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421278947",
            "telephone_number": "270-404-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W FRONT ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412804",
            "telephone_number": "270-904-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411177",
            "country_code": "US",
            "telephone_number": "270-216-2694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTEET",
        "first_name": "JOLENE",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "296136",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.