Jalie Adams
Individual provider Active NPI Mental Health Counselor · Pewee Valley, KY
NPI 1124995121 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1124995121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 167794 (KY)
- Practice address
- 2401 Ash Ave
Pewee Valley, KY 40056-9146 - Phone
- (502) 241-8454
- NPI assigned
- Oct 22, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|
| 167794 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 167794 | KY | Yes |
Addresses
Primary practice location
2401 Ash Ave
Pewee Valley, KY 40056-9146
Mailing address
2401 Ash Ave
Pewee Valley, KY 40056-9146
Other providers in Pewee Valley, KY
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- Tina Esterle Boyle
- Darren Burke
- Denise Ann Burkett
- Kevin Campbell
All providers in Pewee Valley, KY · Mental Health 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 Oct 22, 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.