Jessica A Champion, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1446 Issued in KY

Practice address

1712 St. RT. 121 N Suite D
Murray, KY 42071

Phone

(270) 761-5804

Fax

(270) 761-5807

NPI assigned

Jun 30, 2009

Last updated

Sep 12, 2012By the provider in NPPES

Sex

Female

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

Practice roles

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.

• Bridges Family Center, LLC

  • Professional Counselor
  • Murray, KY
  • NPI 1730467036
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1447488226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 ST. RT. 121 N SUITE D",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 ST. RT. 121 N SUITE D",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-761-5804",
            "fax_number": "270-761-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Carpenter
• Tina A Carter, D.C.
• Devin Cassity, ATC, LAT
• Heath Morgan Cates, M.D.
• Centerwell Health Services USA, LLC (CenterWell Home Health)
• Raymond J Charette, M.D.
• Charles D. Tucker, M.D., PSC (Murray Surgery Center)
• Mary Elisabeth Chase, D.C.
• Ryan Wesley Chasseur, PHARMD
• Hollis J Clark, MD

• Professional Counselor in Murray, KY
• Providers in Murray, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.