Jacob Joseph Hammonds, TCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

270117 Issued in KY

Practice address

1629 Madison Ave
Covington, KY 41011-3317

Phone

(859) 814-2280

NPI assigned

Jul 26, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1346921137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 SAINT ANTHONY DR",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113753",
            "telephone_number": "937-481-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113317",
            "telephone_number": "859-814-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "credential": "TCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "270117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly M Hackett
• Lori Haggard, LISW
• Jennifer Marie Haigis, APRN
• Dashia N Hall
• Racheal Marie Hamel, DDS
• Amy C Hancock
• Katherine Hanley
• Karen R Hanson, LCSW
• Heather Hardman, B.A.
• Andrew W Hargis

• Addiction (Substance Use Disorder) Counselor in Covington, KY
• Providers in Covington, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.