JEANIE MARIE CHANG
NPI 1528503307
Counselor - Professional in Elizabethtown, KY

Q: What is Jeanie Chang's NPI number?

The NPI number for Jeanie Chang is 1528503307. It was assigned to this individual provider in the NPPES registry on January 3, 2017.

Q: What is Jeanie Chang's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jeanie Chang was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since January 03, 2017PECOS Enrolled

2000 RING RD, ELIZABETHTOWN, KY 42701(270) 506-2730(270) 900-0704 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Feb 5, 2021, Nov 29, 2017 and 1 more (4 updates tracked since 2017).

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About Jeanie Marie Chang NPPES

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

JEANIE MARIE CHANG (NPI 1528503307) is an individual professional provider in Elizabethtown, Kentucky, licensed in Kentucky (260916) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528503307

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJEANIE MARIE CHANG

Location Address2000 RING RDElizabethtown, KY 42701-9454

Mailing Address320 Maple DrElizabethtown, KY 42701-9573 · (360) 481-0270

Phone(270) 506-2730

Fax(270) 900-0704

Sole ProprietorNo

Enumeration DateJanuary 3, 2017

Last NPPES UpdateApril 9, 20254 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1528503307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in KY · 260916

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60888116 (WA), MG60753924 (WA), 260916 (KY)

2000 RING RD, Elizabethtown, KY 42701

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Secondary Practice Locations 2

Location 15410 N 44th StTacoma, WA 98407-3715 · Phone (253) 759-9544

Location 2320 Maple DrElizabethtown, KY 42701-9573 · Phone (360) 481-0270

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanie Marie Chang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeanie Chang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Astra Behavioral Health LLC

Same address

Psychiatry

2000 RING RD
Elizabethtown, KY 42701

Reassigned Medicare billing, Kentucky enrollment
77 clinicians in this Medicare group

NPI 1922427517 (270) 506-2730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JANEEN MELVIN

Nurse Practitioner (Psychiatric/Mental Health)