The Grove Behavorial Health Services, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE GROVE BEHAVORIAL HEALTH SERVICES, INC

Practice address

109 E Lafayette St
Jackson, TN 38301-6203

Phone

(731) 300-4232

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Damien Nethery

Title

President

Phone

(731) 300-4232

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Diane Butler, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1376710624
  NPD (past)
• Dalton Glenn Weaver

  • Physician Assistant
  • Jackson, TN
  • NPI 1104320308
  NPD (past)

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1366009441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E LAFAYETTE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LAFAYETTE ST",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383016203",
            "telephone_number": "731-300-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE BEHAVORIAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "NETHERY",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-300-4232"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krittika Thakuria, DO
• Leah Tharpe, RN0000144089
• The Cardiovascular Clinic of West Tennessee,P.C.
• The Children'S Clinic of West Tennessee P.a.
• The David Vickery Limited Partnership
• The Medical Clinic of Jackson
• The Pratt Clinic, PLLC
• The Starting Place, LLC
• The Steets Corporation
• The Urban Eye PC

• Mental Health Counselor in Jackson, TN
• Providers in Jackson, 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 May 23, 2019; 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.