Jessica N Oldfield
Individual provider Active NPI Counselor · West Liberty, KY
NPI 1508102427 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1508102427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 163110 (KY)
- Practice address
- 767 Main St
West Liberty, KY 41472-1019 - Phone
- (606) 329-8588
- NPI assigned
- Dec 20, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 163110 | KY | MD | Counselor |
| LPCCCA00218288 | KY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCCCA00218288 | KY | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | 163110 | KY | Yes |
Addresses
Primary practice location
767 Main St
West Liberty, KY 41472-1019
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other practice location 1
1550 Highway 15 S
Suite 200
Jackson, KY 41339-7247
Phone (606) 666-5696
Other providers in West Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.