Individual provider Active NPI

Jessica Mercer, LPCC-S

  • Mental Health Counselor
  • Madisonville, KY
National Provider Identifier
1972991537
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
169153 Issued in KY
Practice address
1055 National Mine Rd
Madisonville, KY 42431-8913
Phone
(270) 821-8884
Fax
(270) 821-8885
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 169153 KY Primary

Addresses

Primary practice location

1055 National Mine Rd
Madisonville, KY 42431-8913

Mailing address

203 N Elm St
Henderson, KY 42420-3132
Phone (270) 826-8761

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
I20250429000727 KY Practitioner - Mental Health Counselor 9537685987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling Services, Inc. Mental Health CurrentSince Apr 16, 2025 Accepting new patients
Stability Counseling and Associates LLC Mental Health PastSince Dec 18, 2022 Accepting new patients

Locations

203 N Elm St
Henderson, KY 42420
Phone (270) 826-8761

230 2nd St
Ste 406
Henderson, KY 42420
Phone (270) 826-8761

1055 National Mine Dr
Madisonville, KY 42431
Phone (270) 821-8884

920 Frederica St
Ste 407
Owensboro, KY 42301
Phone (270) 684-1077

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1972991537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424203132",
            "telephone_number": "270-826-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 NATIONAL MINE RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318913",
            "telephone_number": "270-821-8884",
            "fax_number": "270-821-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "JESSICA",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "169153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.