Individual provider Active NPI

Jennifer Ann Stephens

  • Professional Counselor
  • Shelbyville, KY
National Provider Identifier
1780699371
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1519 Issued in KY
Practice address
998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone
(502) 633-1315
Fax
(502) 633-1316
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1519 KY Primary
Behavior Analyst 103K00000X 163696 KY

Addresses

Primary practice location

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154

Mailing address

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone (502) 633-1315

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
I20240104003062 KY Practitioner - Mental Health Counselor 7416298708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephens Behavior Consulting, LLCGroup PAC ID 1254672538, 2 clinicians

Practice addresses (Care Compare)

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone (502) 633-1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
163696KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Behavior Consulting, LLC CurrentSince Jan 26, 2010 Accepting new patients
Stephens Behavior Consulting, LLC Behavior Analyst Current Accepting new patients
Brighter Hope, LLC Behavior Analyst PastSince Aug 16, 2020 Accepting new patients

Locations

320 Main St
Shelbyville, KY 40065
Phone (502) 633-1315

998 Brooks Industrial Rd
Ste A
Shelbyville, KY 40065
Phone (502) 633-1315

998 Brooks Industrial Rd
Shelbyville, KY 40065
Phone (502) 264-2816

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1780699371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 BROOKS INDUSTRIAL RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658154",
            "telephone_number": "502-633-1315",
            "fax_number": "502-633-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "1519",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "163696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.