Individual provider Active NPI

Jodi Bessinger

  • Counselor
  • Louisville, KY
National Provider Identifier
1194856500
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1171 Issued in KY
Practice address
214 Breckenridge LN
Louisville, KY 40207-3868
Phone
(502) 554-2439
Fax
(502) 416-0723
NPI assigned
Mar 8, 2007
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 155 KY
Counselor 101Y00000X 1171 KY Primary

Addresses

Primary practice location

214 Breckenridge LN
Louisville, KY 40207-3868

Mailing address

1628 Dunbarton Wynde
Louisville, KY 40205-2778
Phone (502) 554-2439

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
I20241014004184 KY Practitioner - Mental Health Counselor 2567995350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Counseling LLCGroup PAC ID 9830621986, 10 clinicians

Practice addresses (Care Compare)

214 Breckenridge LN
Suite 114
Louisville, KY 40207-3868
Phone (502) 653-7211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1171KYMDCounselor
155KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling, LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

214 Breckenridge Ln
Ste 114
Louisville, KY 40207
Phone (502) 554-2439

802 Stone Creek Pkwy
Ste 1A
Louisville, KY 40223
Phone (502) 653-7211

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1194856500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 DUNBARTON WYNDE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052778",
            "telephone_number": "502-554-2439",
            "fax_number": "502-416-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073868",
            "telephone_number": "502-554-2439",
            "fax_number": "502-416-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSINGER",
        "first_name": "JODI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "155",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.