Jackie Eads, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

259 Parkers Mill Rd
Somerset, KY 42501-3152

Phone

(606) 679-7348

NPI assigned

Oct 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Redmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lake Cumberland Regional Mental Health Mental Retardation Board, Inc.

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1336172642
  NPD (past)
• Lake Cumberland Regional MHMR Board Outpatient

  • Community/Behavioral Health Agency
  • Somerset, KY
  • NPI 1992831713
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1366631459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 PARKERS MILL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013152",
            "telephone_number": "606-679-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "JACKIE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "REDMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Misty M Dye
• Shelly Dyer
• Eadens-Grimball Internal Medicine Associates
• Debra J Eadens, MD
• David M Eads, O.D.
• Pamela Trabish Eads, LCSW, BCD, ACSW
• Meghan Ealy
• Eastern Pulaski Rural Health Clinic,PLLC
• Steven M Eberly, MD
• Kate-Marie Bleecker Ebersole, PA-C

• Mental Health Counselor in Somerset, KY
• Providers in Somerset, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.