Active NPI
Jarrod Peebles, M.S.
- Counselor
- Florence, KY
National Provider Identifier
1821531914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 171509
- Practice address
- 75 Cavalier Blvd
Florence, KY 41042-3950 - Phone
- (859) 594-4510
- NPI assigned
- Nov 22, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 171509 | KY | Primary |
Addresses
Primary practice location
75 Cavalier Blvd
Florence, KY 41042-3950
Mailing address
75 Cavalier Blvd
Florence, KY 41042-3950
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171509 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Edgewood, KY
- NPI 1952840860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1821531914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CAVALIER BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410423950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CAVALIER BLVD",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410423950",
"telephone_number": "859-594-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "JARROD",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KY",
"license": "171509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.