Jacklin Carter
Individual provider Active NPI Counselor · Edmonton, KY
NPI 1316748445 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1316748445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 112 Sartin Dr
Edmonton, KY 42129-8170 - Phone
- (270) 901-5000
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeskills, Inc. | Current |
Accepting new patients |
Locations
380 Suwannee Trail St
Bowling Green, KY 42103
112 Sartin Dr
Edmonton, KY 42129
Phone (270) 432-2266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
112 Sartin Dr
Edmonton, KY 42129-8170
Mailing address
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000
Other providers in Edmonton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 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.