Active NPI
Jaclyn E Meece, LPCC-S
- Mental Health Counselor
- Somerset, KY
National Provider Identifier
1174958375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 240761
- Practice address
- 303 Second St
Somerset, KY 42501-2390 - Phone
- (606) 677-1166
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 240761 | Primary |
Addresses
Primary practice location
303 Second St
Somerset, KY 42501-2390
Mailing address
303 Second St
Somerset, KY 42501-2390
Phone (606) 677-1166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100509930 | Medicaid | KY |
Other names 1
- Jaclyn E Criswell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
303 2ND St
Somerset, KY 42501-2390
Phone (606) 677-1166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Futures Therapy Center, LLC | Current | Accepting new patients | |
| All in Counseling | Mental Health | Past | Accepting new patients |
Locations
303 Second St
Somerset, KY 42501
Phone (606) 451-9672
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": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1174958375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SECOND ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012390",
"telephone_number": "606-677-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SECOND ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012390",
"telephone_number": "606-677-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEECE",
"first_name": "JACLYN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "240761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100509930",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "CRISWELL",
"middle_name": "E",
"credential": "LPCC-S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.