Active NPI
Kenneth Lee Jewell, LPCC
- Professional Counselor
- Murray, KY
National Provider Identifier
1699287599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 174801
- Practice address
- 1712 Highway 121 Byp N Ste 1
Murray, KY 42071-8864 - Phone
- (270) 761-5804
- Fax
- (270) 761-5807
- NPI assigned
- Oct 31, 2017
- Sex
- Male
- 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 | 174801 | KY | Primary |
Addresses
Primary practice location
1712 Highway 121 Byp N Ste 1
Murray, KY 42071-8864
Mailing address
1511 London Dr
Murray, KY 42071-3224
Phone (270) 562-0553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174801 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neartown Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509408000000",
"number": "1699287599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 LONDON DR",
"city": "MURRAY",
"state": "KY",
"postal_code": "420713224",
"telephone_number": "270-562-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 HIGHWAY 121 BYP N STE 1",
"city": "MURRAY",
"state": "KY",
"postal_code": "420718864",
"telephone_number": "270-761-5804",
"fax_number": "270-761-5807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "KENNETH",
"middle_name": "LEE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-31",
"last_updated": "2017-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "174801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.