Jessica Noel Kettell, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN255108 Issued in GA

Practice address

465 Winn Way Ste 221
Decatur, GA 30030-1723

Phone

(888) 588-8995

NPI assigned

Oct 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foresight Mental Health Group PLLCGroup PAC ID 8426442435, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.kettell.1@25119.direct.athenahealth.com

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.

• Grounded Psychiatry LLC

  • Psychiatry Physician
  • Atlanta, GA
  • NPI 1760356067

  Single Specialty

  Medicare reassignment NPD Authorized official
• Foresight Mental Health Group PLLC

  • Counselor
  • Decatur, GA
  • NPI 1477222040
  Care Compare group

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1982320685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 ROSWELL RD NE STE 208",
            "address_2": "STE 208 #179",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423705",
            "telephone_number": "770-404-6653",
            "fax_number": "770-404-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Paces Ferry Rd SE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395714",
            "country_code": "US",
            "telephone_number": "770-404-6653 x101",
            "fax_number": "770-404-6654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTELL",
        "first_name": "JESSICA",
        "middle_name": "NOEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN255108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veda N Kennedy
• Kenneth a. Hoose, Jr., M.D., P.C.
• Christopher Joseph Kenny, PHARMD
• Amelia Kephart, LPC
• Kolubah Kerkula
• Kevin F Magid DDS PC
• Kevin L. Sullivan MD, PC
• Adam Khan
• Ishrat Jahan Khan, MD
• Mehar-Un Nisa Khan, M.D

• Psychiatric/Mental Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.

Verify at the official NPI Registry.