Individual provider Active NPI

Jennifer Woosley, MA, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1154552743
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1661 Issued in KY
Practice address
2121 Tyler LN
Louisville, KY 40205-2923
Phone
(502) 797-3775
NPI assigned
Jul 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1271 KY
Professional Counselor 101YP2500X 1661 KY Primary

Addresses

Primary practice location

2121 Tyler LN
Louisville, KY 40205-2923

Mailing address

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone (502) 633-1315

Other identifiers 1

IdentifierTypeStateIssuer
7100334590MedicaidKY

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 Arts

State licenses

LicenseStateTypeSpecialty
1271KYMDCounselor
1661KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Hope, LLC Past Accepting new patients
Stephens Behavior Consulting, LLC PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1154552743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 TYLER LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052923",
            "telephone_number": "502-797-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOSLEY",
        "first_name": "JENNIFER",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "1271",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100334590",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "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 Feb 24, 2016; 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.