Jennifer Pusey Wagner, B.S.S.W.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1288 Issued in TN

Practice address

485 N Main St
Cornersville, TN 37047-4104

Phone

(615) 790-0567

Fax

(615) 595-8030

NPI assigned

Jun 2, 2014

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 29)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Franklin, TN
  • NPI 1952480501
  Medicare reassignment NPD
• Mercy Health Service - Fairview High School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1164960589
  NPD (past)
• Mercy Health Services - Fairview Elementary School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1679010722
  NPD (past)
• Mercy Health Services - Fairview Middle School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1730627159
  NPD (past)
• Mercy Health Services - New Hope Academy

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
  • NPI 1063950483
  NPD (past)
• Mercy Health Services - Westwood Elementary School

  dba Mercy Community Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairview, TN
  • NPI 1518405935
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1235541871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N MAIN ST",
            "city": "CORNERSVILLE",
            "state": "TN",
            "postal_code": "370474104",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123005",
            "country_code": "US",
            "telephone_number": "615-298-8070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Murfreesboro Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370641318",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370913340",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-595-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JENNIFER",
        "middle_name": "PUSEY",
        "name_prefix": "Mrs.",
        "credential": "B.S.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elizabeth Black, M.ED
• Jennifer Davis Cook
• Kaitlyn Hamlin
• Jenny K Russell, OTR/L
• Melinda Mayton Wray, AGPCNP

• Marriage & Family Therapist in Cornersville, TN
• Providers in Cornersville, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.