Individual provider Active NPI

Rachel Mathias Hardin, LADC II RN BSN CARN

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
National Provider Identifier
1316767890
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1419 Issued in TN
Practice address
110 McCowat St
Jackson, TN 38301-5279
Phone
(731) 427-7238
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 171470 TN
Addiction (Substance Use Disorder) Counselor 101YA0400X 1419 TN Primary

Addresses

Primary practice location

110 McCowat St
Jackson, TN 38301-5279

Mailing address

110 McCowat St
Jackson, TN 38301-5279
Phone (731) 427-7238

Other practice location 1

327 Haywood Ln
Nashville, TN 37211-5424
Phone (615) 560-7545

Other practice location 2

370 N Cumberland St
Jackson, TN 38301-5470
Phone (901) 621-4047

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
171470TNMDAddiction (Substance Use Disorder) Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
T.a.M.B. of Jackson TN Inc PastSince Oct 13, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1316767890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MCCOWAT ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015279",
            "telephone_number": "731-427-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MCCOWAT ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015279",
            "telephone_number": "731-427-7238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Haywood Ln",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372115424",
            "country_code": "US",
            "telephone_number": "615-560-7545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 N Cumberland St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383015470",
            "country_code": "US",
            "telephone_number": "901-621-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "RACHEL",
        "middle_name": "MATHIAS",
        "name_prefix": "Mrs.",
        "credential": "LADC II RN BSN CARN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "171470",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 10, 2024; 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.