Jessica Lynn Blair, LPCC
Individual provider Active NPI Professional Counselor · Glasgow, KY
NPI 1265783294 · NPPES record last updated Mar 20, 2024
Key facts
- NPI
- 1265783294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 163058 (KY)
- Practice address
- 222 W Washington St
Glasgow, KY 42141-2441 - Phone
- (270) 629-6836
- Fax
- (270) 629-6837
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250627000465 | KY | Practitioner - Mental Health Counselor | 9335669621 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Counseling LLC | Professional | Current |
Accepting new patients |
| Bluegrass Professional Counseling, LLC | Professional | Current |
Accepting new patients |
| Kimberly Gambino LLC | Current |
Accepting new patients | |
| Lifeskills, Inc. | Past |
Accepting new patients |
Locations
115 Columbia Ave
Glasgow, KY 42141
Phone (270) 651-8323
608 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 651-8379
103 E South St
Munfordville, KY 42765
Phone (270) 524-7939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 163058 | KY | Yes |
Addresses
Primary practice location
222 W Washington St
Glasgow, KY 42141-2441
Mailing address
6430 Stovall Rd
Cave City, KY 42127-9431
Phone (270) 670-6985
Other practice location 1
103 E South St
Munfordville, KY 42765-9023
Phone (270) 696-3181
Other providers in Glasgow, KY
- Better Hearing Centers of Glasgow, Ky, Inc.
- Bio-Medical Applications of Kentucky, Inc.
- Leslie Mischelle Birge
- Ashley Garrett Biven
- Lana Blaine
- Madeline Rose Blair
- Monica T Bledsoe
- Bloom Pediatric Therapy
- Bluegrass Vein Clinic
- Amanda Michelle Blythe
All providers in Glasgow, 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 Mar 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.