Jerry Nelson, - Counselor in Louisville, KY

Jerry Nelson, is a Counselor - Addiction (substance Use Disorder) based in Louisville, Kentucky. Jerry Nelson is licensed to practice in Kentucky (license number 166933) and his current practice location is 2650 W Broadway, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at (502) 589-1100.

NPI number for Jerry Nelson is 1124151428 and his current mailing address is 101 W Muhammad Ali Blvd, Louisville, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124151428.

Contact Information

Jerry Nelson,
2650 W Broadway,
Louisville, KY 40211-1333
(502) 589-1100
(502) 589-8771

Map and Direction


Healthcare Provider's Profile

Full NameJerry Nelson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2650 W Broadway, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124151428
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 06/24/2016

Medical Identifiers

Medical identifiers for Jerry Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124151428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 166933 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerry Nelson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Nelson,
101 W Muhammad Ali Blvd,
Louisville, KY 40202-1423

Ph: (502) 589-8600
Jerry Nelson,
2650 W Broadway,
Louisville, KY 40211-1333

Ph: (502) 589-1100

Reviews and Comments


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