Active NPI
Jessica M Craven, LCADC,LMFT
- Addiction (Substance Use Disorder) Counselor
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 281989
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 281989 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 289940 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshuas House | Current | Accepting new patients | |
| Seven Counties Services, Inc. | Addiction (Substance Use Disorder) | Past | 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.
-
- Community/Behavioral Health Agency
- Louisville, KY
- NPI 1013695352
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Louisville, KY
- NPI 1598793671
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.