Active NPI
Jordan Beth Sherrod, MS, NCC
- Mental Health Counselor
- Knoxville, TN
National Provider Identifier
1174963979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2455 Sutherland Ave BLDG B
Knoxville, TN 37919 - Phone
- (865) 637-9711
- NPI assigned
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2455 Sutherland Ave BLDG B
Knoxville, TN 37919
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711
Other practice location 1
647 Wall St
Sevierville, TN 37862-5923
Phone (865) 429-0557
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Past | Accepting new patients |
Organizations & group practices 1
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 Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1174963979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGDALE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379175158",
"telephone_number": "865-637-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 SUTHERLAND AVE BLDG B",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-637-9711"
}
],
"practiceLocations": [
{
"address_1": "647 Wall St",
"address_purpose": "LOCATION",
"city": "Sevierville",
"state": "TN",
"postal_code": "378625923",
"country_code": "US",
"telephone_number": "865-429-0557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERROD",
"first_name": "JORDAN",
"middle_name": "BETH",
"credential": "MS, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.