Individual provider Active NPI

Jessica Massey, LPCC

  • Professional Counselor
  • Coal Grove, OH
National Provider Identifier
1447774377
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone
(740) 442-7637
NPI assigned
Aug 2, 2017
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

225 Carlton Davidson LN
Coal Grove, OH 45638-2924

Mailing address

225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone (740) 442-7637

Other practice location 1

192 Chestnut Ridge Rd
West Union, OH 45693-9584
Phone (740) 442-7637

Other practice location 2

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 442-7637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250508000988 OH Practitioner - Mental Health Counselor 0143761148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shawnee Mental Health Center IncGroup PAC ID 7012902075, 25 clinicians

Practice addresses (Care Compare)

225 Carlton Davidson LN
Coal Grove, OH 45638-2924
Phone (740) 533-0648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Apr 21, 2025 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince May 28, 2024 Accepting new patients
Northern Kentucky Mental Health Mental Retardation Regional Board CurrentSince May 28, 2024 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Apr 21, 2025 Accepting new patients

Locations

503 Farrell Dr
Covington, KY 41011
Phone (606) 578-3214

513 Madison Ave
Fl 1
Covington, KY 41011

12 E 5th St
Newport, KY 41071
Phone (859) 491-6510

225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Interoperability endpoints

  • Direct secure messaging: jessica.massey.p1@direct.shawneemhc.nextgenshare.com

Organizations & group practices 4

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1447774377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CARLTON DAVIDSON LN",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382924",
            "telephone_number": "740-442-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CARLTON DAVIDSON LN",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456382924",
            "telephone_number": "740-442-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "West Union",
            "state": "OH",
            "postal_code": "456939584",
            "country_code": "US",
            "telephone_number": "740-442-7637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Washington St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623944",
            "country_code": "US",
            "telephone_number": "740-442-7637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JESSICA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

Verify at the official NPI Registry.