Individual provider Active NPI

Jane Durkin Samuel, MS, LMFT

  • Marriage & Family Therapist
  • Lexington, KY
National Provider Identifier
1417647520
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
284119 Issued in KY
Practice address
620 Euclid Ave Ste 203
Lexington, KY 40502-6429
Phone
(859) 687-6969
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 284119 KY Primary

Addresses

Primary practice location

620 Euclid Ave Ste 203
Lexington, KY 40502-6429

Mailing address

3283 Ridgecane Rd
Lexington, KY 40513-1123
Phone (859) 230-0856

Other practice location 1

122 Danville Loop 1 Rd
Nicholasville, KY 40356-8680
Phone (859) 881-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
284119KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All God'S Children, Inc. PastSince May 3, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1417647520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3283 RIDGECANE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131123",
            "telephone_number": "859-230-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 EUCLID AVE STE 203",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026429",
            "telephone_number": "859-687-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Danville Loop 1 Rd",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403568680",
            "country_code": "US",
            "telephone_number": "859-881-5010",
            "fax_number": "859-305-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JANE",
        "middle_name": "DURKIN",
        "credential": "MS, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "284119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.