Individual provider Active NPI

Jessica M Craven, LCADC,LMFT

  • Addiction (Substance Use Disorder) Counselor
  • Louisville, KY
National Provider Identifier
1265052153
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
281989 Issued in KY
Practice address
805 Mary St
Louisville, KY 40204-2457
Phone
(502) 589-8600
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 289940 KY
Addiction (Substance Use Disorder) Counselor 101YA0400X 281989 KY Primary

Addresses

Primary practice location

805 Mary St
Louisville, KY 40204-2457

Mailing address

10401 Linn Station Rd Ste 100
Louisville, KY 40223-3842
Phone (502) 589-8600

Other practice location 1

125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Louisville Health Information Exchange (HIE)

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
I20250211000260 KY Practitioner - Mental Health Counselor 7911437686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshuas HouseGroup PAC ID 1254865694, 2 clinicians

Practice addresses (Care Compare)

1169 Eastern Pkwy
Suite 1124
Louisville, KY 40217-1462
Phone (502) 576-6643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281989KYMDAddiction (Substance Use Disorder) Counselor
289940KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joshuas House CurrentSince Dec 1, 2024 Accepting new patients
Seven Counties Services, Inc. Addiction (Substance Use Disorder) PastSince Dec 28, 2022 Accepting new patients

Locations

1169 Eastern Pkwy
Ste 1124
Louisville, KY 40217
Phone (502) 309-9751

1169 Eastern Pkwy
Louisville, KY 40217
Phone (502) 242-9091

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1265052153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 LINN STATION RD STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233842",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MARY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042457",
            "telephone_number": "502-589-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301330",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "LCADC,LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "289940",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "281989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Louisville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5500 Matterhorn Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402161327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.