Active NPI
Jordan Renae Meade
- Professional Counselor
- Versailles, KY
National Provider Identifier
1518735398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 360 Amsden Ave Ste 200
Versailles, KY 40383-1851 - Phone
- (270) 864-1472
- Fax
- (270) 864-1693
- NPI assigned
- Dec 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
360 Amsden Ave Ste 200
Versailles, KY 40383-1851
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 864-1472
Other practice location 1
715 Shaker Dr Ste 139
Lexington, KY 40504-3674
Phone (606) 547-6350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1518735398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1080",
"city": "BURKESVILLE",
"state": "KY",
"postal_code": "427171080",
"telephone_number": "270-864-1472",
"fax_number": "270-864-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 AMSDEN AVE STE 200",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831851",
"telephone_number": "270-864-1472",
"fax_number": "270-864-1693"
}
],
"practiceLocations": [
{
"address_1": "715 Shaker Dr Ste 139",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043674",
"country_code": "US",
"telephone_number": "606-547-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEADE",
"first_name": "JORDAN",
"middle_name": "RENAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-12",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.