Jeffery Scott Herman, LPC, SPE, MA

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PE1585 Issued in TN

Practice address

831 W Jackson St
Cookeville, TN 38501-5940

Phone

(931) 520-4418

Fax

(866) 662-9843

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Personal Development Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cookeville, TN
  • NPI 1942324884
  Medicare reassignment
• Therapeutic Interventions, Inc.

  • Professional Counselor
  • Cookeville, TN
  • NPI 1114139243
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1356474639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015940",
            "telephone_number": "931-520-4418",
            "fax_number": "866-662-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385015940",
            "telephone_number": "931-520-4418",
            "fax_number": "866-662-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JEFFERY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LPC, SPE, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC790",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "PE1585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Elizabeth Hensley, NP
• William Alan Hensley, DDS
• David James Henson, M.D.
• Lorrie Henson, M.D.
• Baron Vance Herford, D.O.
• Hermitage Pediatric Dentistry, PLLC
• Yesenia Hernandez
• Meghan Herren, FNP
• Brooke M Hewett, FNP-C
• Kaelyn Hiers

• Health Service Psychologist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Health Service Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.