Active NPI
Jessica Coy, LPCC
- Mental Health Counselor
- Owensboro, KY
National Provider Identifier
1942673066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPCCCA00218277
- Practice address
- 2720 Frederica St
Owensboro, KY 42301-5442 - Phone
- (270) 926-2484
- Fax
- (270) 685-6015
- NPI assigned
- Nov 11, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCCCA00218277 | KY | Primary |
Addresses
Primary practice location
2720 Frederica St
Owensboro, KY 42301-5442
Mailing address
2720 Frederica St
Owensboro, KY 42301-5442
Phone (270) 926-2484
Other practice location 1
100 W 3rd St Ste 304
Owensboro, KY 42303-4129
Phone (270) 698-9777 ext. 27069
Other names 1
- Jessica Moorman
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCCA00218277 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1942673066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 FREDERICA ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423015442",
"telephone_number": "270-926-2484",
"fax_number": "270-685-6015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 FREDERICA ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423015442",
"telephone_number": "270-926-2484",
"fax_number": "270-685-6015"
}
],
"practiceLocations": [
{
"address_1": "100 W 3rd St Ste 304",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423034129",
"country_code": "US",
"telephone_number": "270-698-9777 x27069",
"fax_number": "270-698-9778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COY",
"first_name": "JESSICA",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "LPCCCA00218277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MOORMAN",
"credential": "LPCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.