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JERRY NELSON
NPI 1124151428
Counselor - Addiction (Substance Use Disorder) in Louisville, KY

Active since March 14, 2007
2650 W BROADWAY, LOUISVILLE, KY 40211(502) 589-1100(502) 589-8771 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Nelson NPPES

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

JERRY NELSON (NPI 1124151428) is an individual addiction (substance use disorder) provider in Louisville, Kentucky, licensed in Kentucky (166933) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124151428
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJERRY NELSON
Location Address2650 W BROADWAYLouisville, KY 40211-1333
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423 · (502) 589-8600 · Fax (502) 589-8771
Phone(502) 589-1100
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateMarch 14, 2007
Last NPPES UpdateJune 24, 2016
✔ NPI 1124151428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 166933
2650 W BROADWAY, Louisville, KY 40211
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Other Providers at the Same Location NPPES 20

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

JENNIFER WHITE
Counselor
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-1100
CHARLES THURSTON-SNOHA
Counselor (Mental Health)
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-1100
TONYA LYNN FARRIS APRN
Nurse Practitioner (Psychiatric/Mental Health)
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8910
CAROLYN FELSOCI LCSW
Social Worker (Clinical)
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
LANESIA CASEY
Case Manager/Care Coordinator
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
KEVIN MALONE
Case Manager/Care Coordinator
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
JENNIFER TAYLOR
Case Manager/Care Coordinator
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
WANDA FRYER
Case Manager/Care Coordinator
2650 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-1100

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 Jerry Nelson's NPI number?

The NPI number for Jerry Nelson is 1124151428. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Jerry Nelson located?

Jerry Nelson practices at 2650 W Broadway, Louisville, KY 40211. The listed phone number is (502) 589-1100.

What is Jerry Nelson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerry Nelson was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.