Individual provider Active NPI

Janet Jackson Parrish, LADAC II, NCAC II

  • Addiction (Substance Use Disorder) Counselor
  • Murfreesboro, TN
National Provider Identifier
1124759675
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1128 Issued in TN
Practice address
1139 NW Broad St Ste 102
Murfreesboro, TN 37129-2390
Phone
(615) 243-0569
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1128 TN Primary

Addresses

Primary practice location

1139 NW Broad St Ste 102
Murfreesboro, TN 37129-2390

Mailing address

1810 Martin St
Nashville, TN 37203-5531
Phone (615) 243-0569

Other identifiers 1

IdentifierTypeStateIssuer
1128OtherTNTENNESSEE DEPARTMENT OF HEALTH

Other names 1

  • Ms. Janet Renee Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1128TNMDAddiction (Substance Use Disorder) Counselor

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": "1655942400000",
    "number": "1124759675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MARTIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035531",
            "telephone_number": "615-243-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 NW BROAD ST STE 102",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292390",
            "telephone_number": "615-243-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "JANET",
        "middle_name": "JACKSON",
        "name_prefix": "Ms.",
        "credential": "LADAC II, NCAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DEPARTMENT OF HEALTH",
            "identifier": "1128",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "JACKSON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.