JACOB FANCHER (NPI# 1104461367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104461367 |
| Entity Type | Individual |
| Full Name | JACOB FANCHER |
| Practice Address |
112 Sartin Dr Edmonton KY 42129-8170 |
| Mailing Address |
380 Suwannee Trail St Bowling Green KY 42103-7956 |
| Practice Telephone | 2709015000 |
| Practice Fax Number | 2708425268 |
| Mailing Telephone | 2709015000 |
| Mailing Fax Number | 2708425268 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
112 SARTIN DR |
| City | EDMONTON |
| State | KY |
| Zip Code | 42129-8170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285771295 | Nancy Lee Barrett | Nurse Practitioner | 112 Sartin Dr, Edmonton, KY 42129 | 2007-01-31 |
| 1316453921 | Kayla Bennett | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2017-12-19 |
| 1497261028 | Chastity Hayes | Counselor | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2017-12-19 |
| 1801332218 | Billie Pedigo | Social Worker | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2017-01-09 |
| 1902228117 | Alysha Ervin | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2014-01-08 |
| 1124305560 | Michelle Graves | Case Manager/Care Coordinator | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2011-11-14 |
| 1831426501 | Genevieve Thomas | Counselor | 112 Sartin Dr, Edmonton, KY 42129-8170 | 2009-11-17 |
| 1114128543 | Erik Hunley | Counselor | 112 Sartin Dr, Edmonton, KY 42129 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162503 | Barren River District Health Department | Public Health or Welfare | 102 Ralph Edwards Rd, Edmonton, KY 42129 | 2013-05-24 |
| 1114257615 | Laura Dale Miller | Developmental Therapist | 111 Gail Dr, Edmonton, KY 42129 | 2010-01-05 |
| 1629240759 | Edmonton Primary Care Nursing Group | Nurse Practitioner | 903 West Stockton Street, Edmonton, KY 42129 | 2008-03-28 |
| 1861676421 | Metcalfe Health Services, Inc. | Clinic/Center | 770 Industrial Drive, Edmonton, KY 42129 | 2007-12-19 |
| 1639350200 | Barren River District Health Department | Public Health or Welfare | 615 West Stockton Street, Edmonton, KY 42129 | 2007-11-23 |
| 1336329044 | Metcalfe Co. Schools | Local Education Agency (LEA) | 1007 West Stockton Street, Edmonton, KY 42129 | 2007-11-09 |
| 1013058494 | Mikki S Page | Social Worker | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-09 |
| 1629148481 | John W Miller | Dentist | 108 Elmore Street, Edmonton, KY 42129 | 2006-11-09 |
| 1932298312 | James Michael Pasley | Counselor | Metcalfe County Service Center, 112 Sartin Dr, Edmonton, KY 42129 | 2006-10-12 |
| 1154433159 | Sharon Wise | Social Worker | 112 Sartin Drive, Edmonton, KY 42129 | 2006-08-31 |
| Find all providers in zip 42129 | ||||
| Taxonomy Code | 225C00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Counselor |
| An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master’s degree with specialized courses in rehabilitation processes and technology. |
| Notes: Sources: Commission on Rehabilitation Counselor Certification and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700549 | Sydney Wilson | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-11-02 |
| 1912504291 | Kendall Miller | Rehabilitation Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2020-10-08 |
| 1548872088 | Abigail Thaden | Rehabilitation Counselor | 608 Happy Valley Rd, Glasgow, KY 42141-1561 | 2020-08-17 |
| 1083236681 | Tavina Hensley | Rehabilitation Counselor | 433 Shelton Ln, Russellville, KY 42276-7600 | 2020-05-18 |
| 1598384133 | Amy Ross | Rehabilitation Counselor | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-04-14 |
| 1457986549 | Matthew Howerton | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-03-09 |
| 1609415629 | Ashley Marie Davis | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-12-23 |
| 1376185744 | Natalie Higgs | Rehabilitation Counselor | 433 Shelton Ln, Russellville, KY 42276-7600 | 2019-10-17 |
| 1366098303 | James Shields | Rehabilitation Counselor | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-08-15 |
| 1699337535 | Will Strobel | Rehabilitation Counselor | 822 Woodway St, Bowling Green, KY 42101-2771 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACOB FANCHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.