Active NPI
Jennifer Thompson, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Berea, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3013571
- Practice address
- 305 Estill St
Berea, KY 40403-1742 - Phone
- (859) 985-1415
- NPI assigned
- Jul 8, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3013571 | KY | Primary |
Addresses
Primary practice location
305 Estill St
Berea, KY 40403-1742
Mailing address
105 Blanton LN
London, KY 40741-9294
Phone (859) 314-1150
Other practice location 1
1010 Main St S
Mc Kee, KY 40447-7089
Phone (606) 287-7104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013571 | Other | KY | APRN LICENSE |
| 7100613090 | Medicaid | KY |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Main St S
MC Kee, KY 40447-7089
Phone (806) 287-7104
104 Legacy Dr
Berea, KY 40403-9594
Phone (858) 986-2323
202 Kidd Dr
Berea, KY 40403-7000
Phone (859) 986-2323
305 Estill St
Berea, KY 40403-1742
Phone (859) 986-1415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013571 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Fuse Medical | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Hartoria Health Services LLC | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Health Help Incorporated | Current | Accepting new patients | |
| Parsons Counseling, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
305 Estill St
Berea, KY 40403
Phone (859) 986-1415
104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323
30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665
103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787
3161 Custer Dr
Ste 3
Lexington, KY 40517
Phone (859) 368-0434
43 Waco Dr
London, KY 40741
Phone (606) 770-5161
1010 Main St S
McKee, KY 40447
Phone (606) 287-7104
116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143
401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- MC Kee, KY
- NPI 1770569113
-
- Nurse Practitioner
- London, KY
- NPI 1164003125
-
- Addiction Medicine (Family Medicine) Physician
- Lexington, KY
- NPI 1467918201
-
- Federally Qualified Health Center (FQHC)
- Berea, KY
- NPI 1023094695
-
- Federally Qualified Health Center (FQHC)
- Berea, KY
- NPI 1023814225
-
- Federally Qualified Health Center (FQHC)
- Irvine, KY
- NPI 1427283647
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, KY
- NPI 1437407723
-
- Federally Qualified Health Center (FQHC)
- Lancaster, KY
- NPI 1588187504
-
- Federally Qualified Health Center (FQHC)
- Richmond, KY
- NPI 1659358398
-
- Federally Qualified Health Center (FQHC)
- Berea, KY
- NPI 1861477630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1952963282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BLANTON LN",
"city": "LONDON",
"state": "KY",
"postal_code": "407419294",
"telephone_number": "859-314-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ESTILL ST",
"city": "BEREA",
"state": "KY",
"postal_code": "404031742",
"telephone_number": "859-985-1415"
}
],
"practiceLocations": [
{
"address_1": "1010 Main St S",
"address_purpose": "LOCATION",
"city": "Mc Kee",
"state": "KY",
"postal_code": "404477089",
"country_code": "US",
"telephone_number": "606-287-7104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3013571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "3013571",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100613090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.