Amy Marie Jaggers

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

161712 Issued in KY

Practice address

4000 N Dixie Hwy Ste 3
Elizabethtown, KY 42701-4650

Phone

(270) 505-4183

NPI assigned

Mar 31, 2021

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Goodman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Intervention and Consultation Services, LLC

  dba Eics, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Leitchfield, KY
  • NPI 1780092957
  NPD (past)

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1205414281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 N DIXIE HWY STE 3",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014650",
            "telephone_number": "270-505-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 N DIXIE HWY STE 3",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014650",
            "telephone_number": "270-505-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGERS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "KY",
            "license": "161712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOODMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Velma J. Jackson, CADC
• Jacob Schultz Rehabilitation Services
• Cynthia O Jacobi, LPCC
• Deloris M Jacobs, APRN
• Wendy Jacoby, TCM
• Nicole C Jaggers
• Timothy Wyatt Jaggers, PHARMD
• Ayeshah Jalid, M.D.
• James Medical Equipment, LTD.
• James Moss PLLC

• Behavior Technician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Behavior Technician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.