Individual provider Active NPI

Jessica Renee Carlington, LPCA

  • Counselor
  • Jackson, KY
National Provider Identifier
1447844527
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
246278 Issued in KY
Practice address
1589 Highway 15 S Ste 270
Jackson, KY 41339-9634
Phone
(606) 666-4668
Fax
(606) 666-4670
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 246278 KY Primary

Addresses

Primary practice location

1589 Highway 15 S Ste 270
Jackson, KY 41339-9634

Mailing address

1589 Highway 15 S Ste 270
Jackson, KY 41339-9634
Phone (606) 666-4668

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jessica.Carlington@stepstoneyouth.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
246278KYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1447844527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1589 HIGHWAY 15 S STE 270",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399634",
            "telephone_number": "606-666-4668",
            "fax_number": "606-666-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1589 HIGHWAY 15 S STE 270",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413399634",
            "telephone_number": "606-666-4668",
            "fax_number": "606-666-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLINGTON",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "246278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jessica.Carlington@stepstoneyouth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1589 Highway 15 S Ste 270",
            "city": "Jackson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "413399634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.