Active NPI
Tony S Jewell, LPCC
- Professional Counselor
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 105388
- Practice address
- 16 Ingram Avenue
Campbellsville, KY 42718-1621 - Phone
- (844) 435-0900
- Fax
- (270) 858-4029
- NPI assigned
- May 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 105388 | KY | Primary |
Addresses
Primary practice location
16 Ingram Avenue
Campbellsville, KY 42718-1621
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other practice location 1
377 Heatherton Circle Rd
Greensburg, KY 42743-9790
Phone (270) 405-1420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13831487 | Other | KY | CAQH |
| 7100403130 | Medicaid | KY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Best Care Family Practice LLC | Current | Accepting new patients |
Locations
6350 Old Scottsville Rd
Alvaton, KY 42122
Phone (270) 843-8067
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
300 Ingram Ave
Campbellsville, KY 42718
Phone (270) 465-4431
2705 Hodgenville Rd
Campbellsville, KY 42718
Phone (270) 849-3616
106 Ingram Ave
Campbellsville, KY 42718
1207 E Broadway St
Campbellsville, KY 42718
Phone (270) 465-2877
704 Columbia Hwy
Greensburg, KY 42743
Phone (270) 932-4203
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Best Care Family Practice LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Officer Operational/Managerial Control |
Jun 25, 2009 Jun 25, 2009 Jun 25, 2009 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Greensburg, KY
- NPI 1003045113
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Greensburg, KY
- NPI 1003045113
-
- Federally Qualified Health Center (FQHC)
- Burkesville, KY
- NPI 1306873500
-
- Federally Qualified Health Center (FQHC)
- Greensburg, KY
- NPI 1386120699
-
- Federally Qualified Health Center (FQHC)
- Edmonton, KY
- NPI 1548953672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1205282829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-858-6655",
"fax_number": "270-858-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 INGRAM AVENUE",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427181621",
"telephone_number": "844-435-0900",
"fax_number": "270-858-4029"
}
],
"practiceLocations": [
{
"address_1": "377 Heatherton Circle Rd",
"address_purpose": "LOCATION",
"city": "Greensburg",
"state": "KY",
"postal_code": "427439790",
"country_code": "US",
"telephone_number": "270-405-1420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEWELL",
"first_name": "TONY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-12",
"last_updated": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "105388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13831487",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100403130",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.