MEDICARE: JESSICA NELSON MHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	299992	KY
2	101YM0800X	Mental Health Counselor	299654	KY

General Provider Information

NPI Number	:	1659866614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NELSON MHA

Provider Business Mailing Address
First Line	:	2293 MARKET GARDEN LN
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-8525
Country	:	US
Telephone Number	:	859-351-9181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2025 CORPORATE DR STE 3
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-6535
Country	:	US
Telephone Number	:	859-248-6508
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	02/12/2026

Similar Medicare Providers

1679368575 — ENDLESS POSSIBILITIES LLC
Practice Location Address:

2025 CORPORATE DR STE 3
RICHMOND, KY
40475-6535

Practice Phone: 859-302-5390
Practice Fax:

1679061568 — ALLA PRESMAN
Practice Location Address:

4364 RICHMOND AVE
STATEN ISLAND, NY
10312-6535

Practice Phone: 917-658-9568
Practice Fax:

1083470223 — UNIVERSITY OF KENTUCKY
Practice Location Address:

2091 LANTERN RIDGE DR
RICHMOND, KY
40475-6037

Practice Phone: 859-562-0690
Practice Fax: 859-257-3828

1467304451 — BRANDENBURG4LLC
Practice Location Address:

1870 BOONESBOROUGH RD
RICHMOND, KY
40475-9323

Practice Phone: 859-358-2051
Practice Fax:

1114484649 — GAINES & ASSOCIATES COUNSELING OF THE COMMONWEALTH LLC
Practice Location Address:

244 W IRVINE ST
RICHMOND, KY
40475-1438

Practice Phone: 502-783-7573
Practice Fax:

1285586859 — COVERED BRIDGE COUNSELING, LLC
Practice Location Address:

140 N MADISON AVE # 335
RICHMOND, KY
40475-9998

Practice Phone: 502-771-2787
Practice Fax:

Directions to “ JESSICA NELSON MHA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.