Jonathan D Cole, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

128960 Issued in KY

Practice address

Bluegrass Health Psychology, Inc.
2220 Young Drive
Lexington, KY 40505-4219

Phone

(859) 277-1008

Fax

(859) 277-1083

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, MS, IN, WV4 enrollments

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 4

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bluegrass Health Psychology Inc.Group PAC ID 2668579061, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.99 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

83.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Bluegrass Health Psychology, Inc.

  • Clinical Psychologist
  • Lexington, KY
  • NPI 1619061470

  IN, MS, WV

  Medicare reassignment Care Compare group Authorized official
• Bluegrass Internal Medicine and Nephrology

  • Nephrology Physician
  • Lexington, KY
  • NPI 1609361724
  NPD (past)
• Sun Coast Pain Management, P.a.

  • Specialist
  • Ocean Springs, MS
  • NPI 1407803919
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1669573770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "4101 TATES CREEK CTR DR STE 150, PMB 123",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405173066",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLUEGRASS HEALTH PSYCHOLOGY, INC.",
            "address_2": "2220 YOUNG DRIVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054219",
            "telephone_number": "859-277-1008",
            "fax_number": "859-277-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "KY",
            "license": "1200",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "KY",
            "license": "1200",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "KY",
            "license": "128960",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "KY",
            "license": "128960",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1200",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "128960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89000749",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ella Cole, PA
• Gitana B Cole, APRN
• Glenda S Cole, M.A., CCC/SLP
• Jill Suzanne Cole, LMT
• Jon P. Cole, CRNA
• Jonquanae Cole
• Kelly K. Cole, M.D.
• Stephanie D Cole, FNP-C
• Alexandra Leigh Coleman, DMD
• Amy Elizabeth Coleman, M.D.

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.