Jennifer Canales
Individual provider Active NPI Professional Counselor · Nashville, TN
NPI 1174147243 · NPPES record last updated Aug 19, 2024
Key facts
- NPI
- 1174147243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 4623 Trousdale Dr
Nashville, TN 37204-4584 - Phone
- (615) 301-8431
- NPI assigned
- Jun 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Center LLC
Practice addresses (Care Compare)
275 Robert Rose Dr
BLDG B
Murfreesboro, TN 37129-6347
Phone (888) 374-5066
5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131002369 | TN | Practitioner - Other (Non-Physician) | 3173976610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6596 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Current |
Accepting new patients | |
| Family Care Center, LLC | Mental Health | Current |
Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176
Interoperability endpoints
- https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
4623 Trousdale Dr
Nashville, TN 37204-4584
Mailing address
688 Piccadilly Row
Antioch, TN 37013-1724
Phone (615) 495-3776
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 615-301-8469 |
Other providers in Nashville, TN
- Frank Tony Campos
- Canaan Carrier Service
- Sheila J Canada
- Isabel Canadeo
- Heather Jones Canady
- Michelle M Cancel
- Christina Cancelli- Patrick
- Alyssa Cancemi
- Ayanna Monique Candie
- Ciara Caneega
All providers in Nashville, TN · Professional 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 Aug 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.