JENNIFER SHOEMAKER – Mental Health Counselor, NPI 1861147605

JENNIFER SHOEMAKER is a healthcare provider. based in Glasgow, Kentucky. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 278021 (KY). The NPI Number for JENNIFER SHOEMAKER is 1861147605

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SHOEMAKER
NPI
1861147605
Phone
Not provided
Address
104 REYNOLDS RD
Enumeration Date
21 February 2022
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709045104
Graduation Year
2019 (7 years ago)
PAC ID
7618489261
Group Practice PAC ID
6901291756
Professional Enrollment ID
I20250620001250
Address ID
KY421047908BO5966XRDXX301

Contacts

Other Endpoint
Email
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

862 MENTAL HEALTH COUNSELOR in KY

Provider Addresses for JENNIFER SHOEMAKER

  • 104 REYNOLDS RD

    GLASGOW, KY 421411177

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250620001250IMental Health CounselorKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901291756View full group profile
NameSpecialtyState
Nurse PractitionerKY
Mental Health CounselorKY
Mental Health CounselorKY
Nurse PractitionerKY
Mental Health CounselorKY
Clinical Social WorkerKY
Clinical Social WorkerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Clinical Social WorkerKY

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER SHOEMAKER?
NPI 1861147605 is assigned to JENNIFER SHOEMAKER under the national enumeration system.
Is JENNIFER SHOEMAKER active in the national directory?
JENNIFER SHOEMAKER's public NPI profile is in an active state.
Can you summarize JENNIFER SHOEMAKER's specialty in plain language?
Clinically, the directory lists JENNIFER SHOEMAKER with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER SHOEMAKER?
The page summarizes Glasgow, Kentucky for JENNIFER SHOEMAKER; expand the address list for detail.
Is JENNIFER SHOEMAKER a real provider?
This page reflects official NPPES data for NPI 1861147605. Always confirm identity and privileges with the practice and licensing boards.

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