Jacob R. Kiper

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY-0609 Issued in KY

Practice address

452 Old Corydon Rd
Henderson, KY 42420-4645

Phone

(270) 826-0200

Fax

(270) 826-0212

NPI assigned

Mar 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY2 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 2

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew 25 AIDS Services Inc

  • Clinic/Center
  • Henderson, KY
  • NPI 1457355125

  IN, KY, Mental Health

  Medicare reassignment NPD
• Matthew 25 AIDS Services Inc

  • Community/Retail Pharmacy
  • Evansville, IN
  • NPI 1598531691
  NPD

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1922249796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 OLD CORYDON RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204645",
            "telephone_number": "270-826-0200",
            "fax_number": "270-826-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD CORYDON RD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424204645",
            "telephone_number": "270-826-0200",
            "fax_number": "270-826-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPER",
        "first_name": "JACOB",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-0609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Gray PHD PLC
• Kentucky Dental Professionals, PSC
• Kentucky Emergency Medicine Physicians PLLC
• Kentucky Homecare of Henderson, LLC
• Kids 1St Therapy Services, LLC
• Laura L Kirk, PA
• Joshua Seay Kitchens, MD
• Emily R Knapp, APRN
• Amber N Koon, DO
• Garrett Chase Koon, D.O.

• All providers in Henderson, KY
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.