Jan Boston Sellers, PHD, LPC,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0000002383 Issued in TN

Practice address

261 Yvonne Ave
Crossville, TN 38555-4735

Phone

(931) 456-2859

Fax

(931) 797-8921

NPI assigned

Dec 3, 2008

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1336384486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 926",
            "address_2": "261 YVONNE AVENUE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570926",
            "telephone_number": "931-456-2859",
            "fax_number": "931-797-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 YVONNE AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554735",
            "telephone_number": "931-456-2859",
            "fax_number": "931-797-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "JAN",
        "middle_name": "BOSTON",
        "credential": "PHD, LPC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "0000002383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Scovill, PT
• Kelsey Scoville
• Second Chances Outpatient Services
• Peter William Seeley, PT
• William David Selecman, D.D.S.
• Abigail Sells, FNP-C
• Cameron Sells
• Victor A Shada, D.O.
• Meagan Shelton
• Grace C Shen, PT

• Mental Health Counselor in Crossville, TN
• Providers in Crossville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.