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

Jerry Nelson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124151428

Jerry Nelson is an Addiction (Substance Use Disorder) Counselor in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007

Practice location Address checks out

2650 W Broadway
Louisville, KY 40211-1333
Phone: (502) 589-1100
Fax: (502) 589-8771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 166933 (KY)

Record details

NPI number1124151428
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2007
Last updated in NPPESJune 24, 2016

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