Individual provider Active NPI

Jared Laughlin

  • Professional Counselor
  • Crestview Hills, KY
National Provider Identifier
1497461628
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
297532 Issued in KY
Practice address
2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915
Phone
(859) 341-5400
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 297532 KY
Professional Counselor 101YP2500X 297532 KY Primary

Addresses

Primary practice location

2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915

Mailing address

2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3915
Phone (859) 341-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250522002549 KY Practitioner - Mental Health Counselor 7719406750
I20250522002760 OH Practitioner - Mental Health Counselor 7719406750

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3824 Cedar Springs Rd
Dallas, TX 75219-4136

PO Box
Suite 1431
Charlotte, NC 28201

PO Box
Suite 1431
Charlotte, NC 28201-1431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297532KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care Specialists, Inc Counselor CurrentSince May 1, 2025 Accepting new patients
Pediatric Associates PSC Professional PastSince Feb 8, 2023 Accepting new patients

Locations

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Organizations & group practices 2

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1497461628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 225",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173915",
            "telephone_number": "859-341-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 225",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173915",
            "telephone_number": "859-341-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "297532",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "297532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.