Michaela M Jamieson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3966 Issued in TN

Practice address

1037 Cresthaven Rd
Memphis, TN 38119-3833

Phone

(901) 682-6136

Fax

(901) 682-7136

NPI assigned

Jul 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mental Health Resources, PLLC

  • Clinic/Center
  • Germantown, TN
  • NPI 1922034503
  NPD
• Front Street Clinic Inc

  • Psychologist
  • Poulsbo, WA
  • NPI 1457532913
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083136246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 CRESTHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193833",
            "telephone_number": "901-682-6136",
            "fax_number": "901-682-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 CRESTHAVEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193833",
            "telephone_number": "901-682-6136",
            "fax_number": "901-682-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "MICHAELA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "3966",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah James, MD, MBA
• Stephanie Harmon James, N.P.
• Sydney James
• Valerie P Jameson, MD
• William Dean Jameson, M.D.
• Tameka Latoya Jamison, MPH
• Muneeb Ullah Jan, MBBS
• Timothy Jancelewicz, MD
• Seema Helen Janga
• Kregg Ryan Janke, PHARM.D.

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.