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JODIE R. ELLSWORTH LPCC
NPI 1730714460
Counselor - Professional in Madisonville, KY

Active since March 03, 2020PECOS Enrolled
1055 NATIONAL MINE DR, MADISONVILLE, KY 42431(270) 821-8884(270) 821-8885 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Mar 3, 2020 (2 updates tracked since 2020).

About Jodie R. Ellsworth Lpcc NPPES

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

JODIE R. ELLSWORTH LPCC (NPI 1730714460) is an individual professional provider in Madisonville, Kentucky, licensed in Kentucky (262220) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730714460
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJODIE R. ELLSWORTHCredential: LPCC
Location Address1055 NATIONAL MINE DRMadisonville, KY 42431-8913
Mailing Address203 N Elm StHenderson, KY 42420-3132 · (270) 826-8761 · Fax (270) 826-8737
Phone(270) 821-8884
Fax(270) 821-8885
Sole ProprietorNo
Enumeration DateMarch 3, 2020
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1730714460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 262220
1055 NATIONAL MINE DR, Madisonville, KY 42431
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jodie R. Ellsworth Lpcc 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.

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 Jodie Ellsworth's NPI number?

The NPI number for Jodie Ellsworth is 1730714460. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Jodie Ellsworth located?

Jodie Ellsworth practices at 1055 National Mine Dr, Madisonville, KY 42431. The listed phone number is (270) 821-8884.

What is Jodie Ellsworth's specialty?

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

Is Jodie Ellsworth enrolled in Medicare?

Yes. Jodie Ellsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jodie Ellsworth was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.