Individual provider Active NPI

Susan Carol Turner, M.ED, LPCC

  • Mental Health Counselor
  • Jackson, KY
National Provider Identifier
1407157563
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
251190 Issued in KY
Practice address
1029 College Ave Ste 101B
Jackson, KY 41339-1073
Phone
(606) 221-7272
NPI assigned
Nov 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Nurse's Aide 376K00000X 50179226 KY
Mental Health Counselor 101YM0800X 251190 KY Primary

Addresses

Primary practice location

1029 College Ave Ste 101B
Jackson, KY 41339-1073

Mailing address

3610 Highway 1933
Jackson, KY 41339-8560
Phone (606) 221-7272

Other identifiers 2

IdentifierTypeStateIssuer
7100874760MedicaidKY
273982OtherKYKENTUCKY BOARD OF LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan@turnertherapyandwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240415002483 KY Practitioner - Mental Health Counselor 2961841606 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
251190KYMDMental Health Counselor
50179226KYMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Turner Therapy and Wellness, LLC. Mental Health CurrentSince Jan 21, 2024 Accepting new patients

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": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1407157563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 HIGHWAY 1933",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398560",
            "telephone_number": "606-221-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 COLLEGE AVE STE 101B",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413391073",
            "telephone_number": "606-221-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "M.ED, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "KY",
            "license": "50179226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "251190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100874760",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF LICENSURE",
            "identifier": "273982",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan@turnertherapyandwellness.com",
            "affiliation": "N",
            "address_1": "1029 College Ave Ste 101B",
            "city": "Jackson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "413391073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

Verify at the official NPI Registry.