Individual provider Active NPI

Jeffrey A Romer, D.MIN.PCC

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1376697755
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0093 Issued in KY
Practice address
1864 Frankfort Ave
Louisville, KY 40206-3146
Phone
(502) 899-5991
Fax
(502) 899-5991
NPI assigned
Jan 22, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0093 KY Primary

Addresses

Primary practice location

1864 Frankfort Ave
Louisville, KY 40206-3146

Mailing address

2009 Winston Ave
Louisville, KY 40205-2533
Phone (502) 458-1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250719000074 IN Practitioner - Marriage and Family Therapist 3678089422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Counseling Services IncGroup PAC ID 2264931880, 7 clinicians

Practice addresses (Care Compare)

1205 Applegate LN
Clarksville, IN 47129-9608
Phone (812) 206-4278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0093KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Counseling Services, Inc. CurrentSince Jul 15, 2025 Accepting new patients

Locations

1205 Applegate Ln
Clarksville, IN 47129
Phone (812) 206-4278

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376697755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 WINSTON AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052533",
            "telephone_number": "502-458-1028",
            "fax_number": "502-899-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 FRANKFORT AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402063146",
            "telephone_number": "502-899-5991",
            "fax_number": "502-899-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.MIN.PCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.