Individual provider Active NPI

Jennifer Elizabeth Lakes, M.ED.

  • Counselor
  • London, KY
National Provider Identifier
1518744945
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
287614 Issued in KY
Practice address
934 S Laurel Rd Ste 2
London, KY 40744-6314
Phone
(606) 657-2030
NPI assigned
Sep 11, 2023
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 287614 KY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 287614 KY
Mental Health Counselor 101YM0800X 287614

Addresses

Primary practice location

934 S Laurel Rd Ste 2
London, KY 40744-6314

Mailing address

330 Asa Flat Rd
Annville, KY 40402-9036
Phone (606) 731-8917

Other practice location 1

100 Ace Drive
Berea, KY 40403
Phone (859) 756-5006

Other practice location 2

330 Asa Flat Rd
Annville, KY 40402-9036
Phone (606) 309-2448

Other names 1

  • Miss Jennifer Elizabeth Neeley Former name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
287614KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Rural Health Information Technology Network, Inc. Addiction (Substance Use Disorder) CurrentSince Nov 11, 2024 Accepting new patients
Kentucky Rural Health Information Technology Network, Inc. PastSince Sep 29, 2024 Accepting new patients
Recover Together, LLC PastSince Sep 1, 2023 Accepting new patients

Locations

934 S Laurel Rd
Ste 2
London, KY 40744
Phone (606) 657-2030

Organizations & group practices 3

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1518744945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ASA FLAT RD",
            "city": "ANNVILLE",
            "state": "KY",
            "postal_code": "404029036",
            "telephone_number": "606-731-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 S LAUREL RD STE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407446314",
            "telephone_number": "606-657-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ace Drive",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "40403",
            "country_code": "US",
            "telephone_number": "859-756-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Asa Flat Rd",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "KY",
            "postal_code": "404029036",
            "country_code": "US",
            "telephone_number": "606-309-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKES",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "287614",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "287614",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "287614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NEELEY",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "LPCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.