Individual provider Active NPI

Robyn Elizabeth McDaniel, LPC/MHSP (TEMP), NCC

  • Mental Health Counselor
  • Jackson, TN
National Provider Identifier
1003547662
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5927 Issued in TN
Practice address
384 Carriage House Dr Ste C
Jackson, TN 38305-2268
Phone
(731) 868-7297
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5927 TN Primary

Addresses

Primary practice location

384 Carriage House Dr Ste C
Jackson, TN 38305-2268

Mailing address

384 Carriage House Dr Ste C
Jackson, TN 38305-2268
Phone (731) 868-7297

Other names 1

  • Miss Robyn Elizabeth May Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003690 TN Practitioner - Mental Health Counselor 2567945140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

2080 Craig Dr
Milan, TN 38358-6186
Phone (731) 394-1145

4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5927TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC Mental Health CurrentSince Feb 24, 2026 Accepting new patients
Revelation of Hope Counseling Services, LLC Mental Health CurrentSince Jun 26, 2022 Accepting new patients

Locations

386 Carriage House Dr
Ste E
Jackson, TN 38305

384 Carriage House Dr
Ste C
Jackson, TN 38305
Phone (731) 661-0390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1003547662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 CARRIAGE HOUSE DR STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-868-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 CARRIAGE HOUSE DR STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052268",
            "telephone_number": "731-868-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ROBYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC/MHSP (TEMP), NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MAY",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.