Jonathan Lynn Hartsell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5391 Issued in TN

Practice address

207 Boone Street
Suite 27
Johnson City, TN 37604

Phone

(423) 444-3677

NPI assigned

Mar 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peace of Mind Therapy Services

  • Clinical Social Worker
  • Johnson City, TN
  • NPI 1265796072
  NPD (past) Authorized official

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1326347311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CHEROKEE RD UNIT 4",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043474",
            "telephone_number": "423-426-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BOONE STREET",
            "address_2": "SUITE 27",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-444-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSELL",
        "first_name": "JONATHAN",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth David Hart Jr., ATC
• Sara Hart
• Caitlyn Harter, ATC
• James David Hartigan, M.ED.
• Frederick C Hartley, M.D.
• Erica Harvey
• Tyler Harvey, DO
• Syed Ghazanfar Hasan, DO
• Austin B Hash, DO
• Samra Hassan, MD

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.