Individual provider Active NPI

Jessica Nicole Dowell, MED, LPA

  • Counseling Psychologist
  • Louisville, KY
National Provider Identifier
1134762370
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
260060 Issued in KY
Practice address
11824 Ransum Dr
Louisville, KY 40243-2802
Phone
(502) 338-0608
Fax
(502) 245-1888
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 260060 KY Primary

Addresses

Primary practice location

11824 Ransum Dr
Louisville, KY 40243-2802

Mailing address

11824 Ransum Dr
Louisville, KY 40243-2802
Phone (502) 338-0608

Other identifiers 1

IdentifierTypeStateIssuer
260060OtherKYKENTUCKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.dowell@bewellproviders.com

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
260060KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1134762370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11824 RANSUM DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432802",
            "telephone_number": "502-338-0608",
            "fax_number": "502-245-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11824 RANSUM DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432802",
            "telephone_number": "502-338-0608",
            "fax_number": "502-245-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "MED, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "260060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY",
            "identifier": "260060",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.dowell@bewellproviders.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "11824 Ransum Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402432802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.