Active NPI
Jared Laughlin
- Professional Counselor
- Crestview Hills, KY
National Provider Identifier
1497461628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 297532
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 297532 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Extended Care Specialists, Inc | Counselor | Current | Accepting new patients |
| Pediatric Associates PSC | Professional | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.