Jennifer Marie Hampton

Key facts

NPI

1285076299

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

4474 (TN)

Practice address

2455 Sutherland Ave
Knoxville, TN 37919-2355

Phone

(865) 544-5000

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Helen Ross McNabb Center Mental Health Clinic/Center (Including Community Mental Health Center) · Knoxville, TN · NPI 1659330686
  Medicare reassignment TN
• Helen Ross McNabb Center Mental Health Clinic/Center (Including Community Mental Health Center) · Knoxville, TN · NPI 1558799361
  NPD

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

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2024.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1285076299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECH CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122747",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 SUTHERLAND AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379192355",
            "telephone_number": "865-544-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 Lake Brook Blvd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091137",
            "country_code": "US",
            "telephone_number": "865-544-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4474",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q060819",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

• Mary Ann Hammonds, MSN ADULT NURSE PRA
• Shelby Paige Hammonds, PA-C
• Cathy Mills Hammons, APRN, MSN, FNP, BC
• Joshua T Hammontree, DPT
• Bert A Hampton, M.D.
• Susan K Hampton, APRN
• Erin Hamric, DO
• Lauren Hamrick, PH.D.
• Teresa Hamrick, CRNA
• Rosemary Gibson Hamsley

All providers in Knoxville, TN · Mental Health Counselor in Tennessee