Active NPI
Vicie Pelfrey
- Professional Counselor
- Jackson, KY
National Provider Identifier
1861706384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0983
- Practice address
- 3830 Highway 15 S
Jackson, KY 41339-8675 - Phone
- (606) 666-7591
- NPI assigned
- Jul 27, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 0983 | KY | Primary |
Addresses
Primary practice location
3830 Highway 15 S
Jackson, KY 41339-8675
Mailing address
115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky River Community Care, Inc | Professional | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1861706384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ROCKWOOD LN",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019415",
"telephone_number": "606-436-5761",
"fax_number": "606-436-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 HIGHWAY 15 S",
"city": "JACKSON",
"state": "KY",
"postal_code": "413398675",
"telephone_number": "606-666-7591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELFREY",
"first_name": "VICIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "0983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.