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JENNY M. PETRIE PH.D.
NPI 1356754733
Psychologist - Clinical in Louisville, KY

Active since June 03, 2014Opted out of Medicare · through Jul 1, 2027
11730 OLD SHELBYVILLE RD, LOUISVILLE, KY 40243(502) 883-4073(502) 883-4139 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenny M. Petrie Ph.d. NPPES

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

JENNY M. PETRIE PH.D. (NPI 1356754733) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (171261) and active in the NPI registry since June 2014. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1356754733
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJENNY M. PETRIECredential: PH.D.
Location Address11730 OLD SHELBYVILLE RDLouisville, KY 40243-1482
Mailing Address11730 Old Shelbyville RdLouisville, KY 40243-1482 · (502) 883-4073 · Fax (502) 883-4139
Phone(502) 883-4073
Fax(502) 883-4139
Sole ProprietorYes
Enumeration DateJune 3, 2014
Last NPPES UpdateOctober 19, 2016
✔ NPI 1356754733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in KY · 171261
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11730 OLD SHELBYVILLE RD, Louisville, KY 40243
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jenny M. Petrie Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BRITTNEY POPPE PH.D.
Psychologist (Clinical)
11730 OLD SHELBYVILLE RD
LOUISVILLE, KY 40243
Jefferson County (502) 883-4073
DR. ROCHELLE C. MEHL PH.D.
Psychologist (Clinical)
11730 OLD SHELBYVILLE RD
LOUISVILLE, KY 40243
Jefferson County (502) 883-4073

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 Jenny Petrie's NPI number?

The NPI number for Jenny Petrie is 1356754733. It was assigned to this individual provider in the NPPES registry on June 3, 2014.

Where is Jenny Petrie located?

Jenny Petrie practices at 11730 Old Shelbyville Rd, Louisville, KY 40243. The listed phone number is (502) 883-4073.

What is Jenny Petrie's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jenny Petrie enrolled in Medicare?

No. Jenny Petrie has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jenny Petrie was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.