Individual provider Active NPI

Melissa Cheri Jacobs, LPCC

  • Mental Health Counselor
  • Ashland, KY
National Provider Identifier
1528450749
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
163326 Issued in KY
Practice address
835 Central Ave
Ashland, KY 41101-7423
Phone
(606) 547-4400
Fax
(606) 547-4180
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 163326 KY Primary

Addresses

Primary practice location

835 Central Ave
Ashland, KY 41101-7423

Mailing address

2901 Pigeon Roost Rd
Rush, KY 41168-8132
Phone (606) 928-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241008003254 KY Practitioner - Mental Health Counselor 0042741522 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ramey-Estep Homes, Inc CurrentSince Jul 22, 2024 Accepting new patients
Ramey-Estep Homes, Inc CurrentSince Jul 22, 2024 Accepting new patients

Locations

835 Central Ave
Ashland, KY 41101
Phone (606) 547-4400

10 Town Center Blvd
Ste 2
Crestview Hills, KY 41017
Phone (859) 360-6120

211 S Carol Malone Blvd
Grayson, KY 41143
Phone (606) 713-0379

2901 Pigeon Roost Rd
Rush, KY 41168
Phone (606) 928-6648

2901 Pigeon Roost Rd
Ste B
Rush, KY 41168
Phone (606) 547-4400

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1528450749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PIGEON ROOST RD",
            "city": "RUSH",
            "state": "KY",
            "postal_code": "411688132",
            "telephone_number": "606-928-6648",
            "fax_number": "606-928-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CENTRAL AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017423",
            "telephone_number": "606-547-4400",
            "fax_number": "606-547-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MELISSA",
        "middle_name": "CHERI",
        "name_prefix": "Mrs.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "163326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.