Individual provider Active NPI

Jennifer Reynolds, LPCC

  • Professional Counselor
  • Florence, KY
National Provider Identifier
1487309670
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7426 US Highway 42 Ste 106
Florence, KY 41042-2056
Phone
(859) 282-0119
Fax
(859) 282-8018
NPI assigned
Feb 16, 2022
Last updated
Jan 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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 NU Primary

Addresses

Primary practice location

7426 US Highway 42 Ste 106
Florence, KY 41042-2056

Mailing address

7426 US Highway 42 Ste 106
Florence, KY 41042-2056
Phone (859) 282-0119

Other names 1

  • Jennifer Sloan Former name

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
I20240829000255 KY Practitioner - Mental Health Counselor 8123567575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling and Diagnostic Center LLCGroup PAC ID 4981976222, 7 clinicians

Practice addresses (Care Compare)

7426 US Hwy 42
Suite 106
Florence, KY 41042-2056
Phone (859) 282-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Diagnostic Center, LLC Professional CurrentSince May 7, 2024 Accepting new patients

Locations

7426 US Highway 42
Ste 106
Florence, KY 41042
Phone (859) 282-0118

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1487309670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 US HIGHWAY 42 STE 106",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422056",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 US HIGHWAY 42 STE 106",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422056",
            "telephone_number": "859-282-0119",
            "fax_number": "859-282-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JENNIFER",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SLOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.