Individual provider Active NPI

Sara A Jones, LPCC

  • Professional Counselor
  • Monticello, KY
National Provider Identifier
1932488640
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
170773 Issued in KY
Practice address
80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone
(606) 343-0216
Fax
(606) 343-0224
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1613 KY
Professional Counselor 101YP2500X 170773 KY Primary

Addresses

Primary practice location

80 Rolling Hills Blvd
Monticello, KY 42633-9005

Mailing address

80 Rolling Hills Blvd
Monticello, KY 42633-9005
Phone (606) 343-0216

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
I20240112002816 KY Practitioner - Mental Health Counselor 9638520794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Adanta Cir
Albany, KY 42602-9549
Phone (606) 387-7635

200 E Frazier Ave
Columbia, KY 42728-1915
Phone (270) 384-4719

259 Parkers Mill Rd
Somerset, KY 42501-3152
Phone (606) 679-7348

322 Middleburg St
Liberty, KY 42539-3004
Phone (606) 787-9472

735 W Columbia Ave
Monticello, KY 42633-1627
Phone (606) 348-9318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
170773KYMDProfessional Counselor
1613KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Academy, Inc Professional CurrentSince Jul 31, 2022 Accepting new patients
Foothills Academy, Inc. CurrentSince Jul 31, 2022 Accepting new patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Rise Mental Health and Wellness Mental Health PastSince Mar 21, 2024 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient PastSince Jul 25, 2019 Accepting new patients

Locations

200 E Frazier Ave
Columbia, KY 42728
Phone (270) 384-4710

735 W Columbia Ave
Monticello, KY 42633
Phone (606) 348-8935

80 Rolling Hills Blvd
Monticello, KY 42633
Phone (606) 343-0216

150 S Main St
Monticello, KY 42633
Phone (606) 348-9318

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1932488640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROLLING HILLS BLVD",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339005",
            "telephone_number": "606-343-0216",
            "fax_number": "606-343-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "1613",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "170773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.