Jennifer Renee Daniel, LPCC, LCADC
Individual provider Active NPI Professional Counselor · Pembroke, KY
NPI 1225905938 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1225905938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 288280 (KY)
- Practice address
- 4605 Pembroke Fairview Rd
Pembroke, KY 42266-9718 - Phone
- (270) 305-5355
- NPI assigned
- Oct 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288280 | KY | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 288280 | KY | Yes |
Addresses
Primary practice location
4605 Pembroke Fairview Rd
Pembroke, KY 42266-9718
Mailing address
4605 Pembroke Fairview Rd
Pembroke, KY 42266-9718
Phone (270) 305-5355
Other providers in Pembroke, KY
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- Barbara Veronica Boren
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- Jaimee Clarke
- Erin Grace Covington
- Extendicare Homes, Inc.
- Katherine Elizabeth Guy
- Dana Hollis
- Peyton Leigh Lucero
- Janet L Moore
All providers in Pembroke, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.