JAMIE FORD
NPI 1417609793
Counselor - Professional in Jamestown, KY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since January 19, 2022PECOS EnrolledAccepts Medicare Assignment

119 HEREFORD CURVE ROAD, JAMESTOWN, KY 42629(270) 343-4108 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2026, Jan 19, 2022 (2 updates tracked since 2022).

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About Jamie Ford NPPES

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

JAMIE FORD (NPI 1417609793) is an individual professional provider in Jamestown, Kentucky, licensed in Kentucky (290715) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Somerset, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417609793

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJAMIE FORD

Location Address119 HEREFORD CURVE ROADJamestown, KY 42629

Mailing Address130 Southern School RdSomerset, KY 42501-3223 · (606) 679-4782 · Fax (606) 678-5296

Phone(270) 343-4108

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 19, 2022

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1417609793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 290715

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302885 (KY)

119 HEREFORD CURVE ROAD, Jamestown, KY 42629

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Secondary Practice Location 1

Location 1259 Parkers Mill RdSomerset, KY 42501-3152 · Phone (606) 679-4782

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Ford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628599412

PECOS Enrollment IDI20250310001996

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.