Active NPI
Jennifer Linville, LPCC
- Professional Counselor
- Paducah, KY
National Provider Identifier
1972063451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 247435
- Practice address
- 2138 Broadway St
Paducah, KY 42001-7110 - Phone
- (270) 449-1541
- NPI assigned
- Mar 21, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 247435 | KY | Primary |
Addresses
Primary practice location
2138 Broadway St
Paducah, KY 42001-7110
Mailing address
252 N 38TH St
Paducah, KY 42001-4721
Phone (270) 449-1451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100609740 | Medicaid | KY |
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 |
|---|---|---|---|
| 247435 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linville Counselign and Consulting | Professional | Current | Accepting new patients |
Locations
100 Fountain Ave
Ste 419A
Paducah, KY 42001
Phone (270) 449-1541
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.
-
- Professional Counselor
- Paducah, KY
- NPI 1699587907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1972063451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 N 38TH ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014721",
"telephone_number": "270-449-1451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017110",
"telephone_number": "270-449-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINVILLE",
"first_name": "JENNIFER",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "247435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100609740",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.