Jordan Collins
Individual provider Active NPI Mental Health Counselor · Barbourville, KY
NPI 1609705698 · NPPES record last updated May 15, 2026
Key facts
- NPI
- 1609705698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 308654 (KY)
- Practice address
- 142 Black St
Barbourville, KY 40906-1483 - Phone
- (606) 219-4676
- Fax
- (606) 896-2080
- NPI assigned
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 308654 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pride Counseling | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 308654 | KY | Yes |
Addresses
Primary practice location
142 Black St
Barbourville, KY 40906-1483
Mailing address
142 Black St
Barbourville, KY 40906-1483
Phone (606) 219-4676
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All providers in Barbourville, KY · Mental Health Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2026. 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.