Active NPI
Jack Carmody, LPC
- Professional Counselor
- Nashville, TN
National Provider Identifier
1255030557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8733
- Practice address
- 2766 Rock Wall Rd
Nashville, TN 37221-4372 - Phone
- (803) 760-8003
- NPI assigned
- Feb 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8733 | SC | Primary |
Addresses
Primary practice location
2766 Rock Wall Rd
Nashville, TN 37221-4372
Mailing address
2766 Rock Wall Rd
Nashville, TN 37221-4372
Phone (803) 575-2771
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8733 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1255030557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 ROCK WALL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372214372",
"telephone_number": "803-575-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2766 ROCK WALL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372214372",
"telephone_number": "803-760-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMODY",
"first_name": "JACK",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-27",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "8733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.