JENNIFER VANDIVER-VERTREES LPCC
NPI 1083621718
Counselor - Mental Health in Owensboro, KY

Active since August 02, 2006PECOS Enrolled
3238 KIDRON VALLEY WAY STE 6, OWENSBORO, KY 42303(270) 925-8060(502) 245-7568 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Vandiver-vertrees Lpcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER VANDIVER-VERTREES LPCC (NPI 1083621718) is an individual mental health provider in Owensboro, Kentucky, licensed in Kentucky (103802) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083621718
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER VANDIVER-VERTREESCredential: LPCC
Location Address3238 KIDRON VALLEY WAY STE 6Owensboro, KY 42303-2484
Mailing Address3238 Kidron Valley Way Ste 6Owensboro, KY 42303-2484 · (270) 925-8060 · Fax (502) 245-7568
Fax(502) 245-7568
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 2, 2006
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1083621718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in KY · 103802
3238 KIDRON VALLEY WAY STE 6, Owensboro, KY 42303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Vandiver-vertrees Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638514516
PECOS Enrollment IDI20240301000860
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3238 KIDRON VALLEY WAY STE 6
OWENSBORO, KY 42303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Vandiver-vertrees's NPI number?

The NPI number for Jennifer Vandiver-vertrees is 1083621718. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Jennifer Vandiver-vertrees located?

Jennifer Vandiver-vertrees practices at 3238 Kidron Valley Way Ste 6, Owensboro, KY 42303. The listed phone number is (270) 925-8060.

What is Jennifer Vandiver-vertrees's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Vandiver-vertrees enrolled in Medicare?

Yes. Jennifer Vandiver-vertrees is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Vandiver-vertrees was last updated on November 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.