Jason Johnston
Individual provider Active NPI Mental Health Counselor · Linden, TN
NPI 1023150034 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1023150034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2225 Deer Valley Rd
Linden, TN 37096 - Phone
- (931) 589-2500
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2225 Deer Valley Rd
Linden, TN 37096
Mailing address
274 Williams Hollow Rd
Linden, TN 37096-4622
Other providers in Linden, TN
- Lindsay Anne Grooms
- Ashley L Hayes
- Kenisha Renea Hester
- Julia T Hinson
- Alex Ray Johnson
- Stephanie Jean Kennedy-Southall
- Derrick Thomas King
- Kristy King
- Lexington Hospital Corporation
- Brandi J Mackin
All providers in Linden, TN · Mental Health Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.