Organization Active NPI

The Pratt Clinic, PLLC

Doing business as The Pratt Clinic

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1295363182
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE PRATT CLINIC, PLLC
Doing business as
The Pratt Clinic
Practice address
168 W University Pkwy
Jackson, TN 38305-1624
Phone
(731) 660-0199
Fax
(731) 227-6116
NPI assigned
Mar 28, 2020
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Perry Bolton Pratt, PHD, LPC/MHSPNPI 1710104146
Title
Owner
Phone
(731) 803-4652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Behavior Analyst 103K00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

168 W University Pkwy
Jackson, TN 38305-1624

Mailing address

162 Rolling Oaks Dr
Humboldt, TN 38343-8585
Phone (731) 803-4652

Other names 1

  • The Pratt Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

174 Murray Guard Dr
Jackson, TN 38305
Phone (501) 590-7262

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1295363182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ROLLING OAKS DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383438585",
            "telephone_number": "731-803-4652",
            "fax_number": "731-227-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W UNIVERSITY PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051624",
            "telephone_number": "731-660-0199",
            "fax_number": "731-227-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRATT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "BOLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-803-4652",
        "authorized_official_credential": "PHD, LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pratt Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.