Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Vandiver-Vertrees, LPCC

Individual provider Mental Health Counselor · NPI 1083621718

Jennifer Vandiver-Vertrees, LPCC is a Mental Health Counselor in Owensboro, Kentucky. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
26
Licensed in
KY
In the registry since
2006
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3238 Kidron Valley Way Ste 6
Owensboro, KY 42303-2484
Phone: (270) 925-8060
Fax: (502) 245-7568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 103802 (KY)

Record details

NPI number1083621718
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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