Claudia Lilian Gossett-Divine, LPC/MHSP.,LADAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0000001758 Issued in TN

Practice address

25 Security Dr
Jackson, TN 38305-3754

Phone

(731) 668-1271

Fax

(731) 424-4385

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Claudia Gossett-Divine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1366693483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HARTS BRIDGE RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383019538",
            "telephone_number": "731-424-4385",
            "fax_number": "731-424-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SECURITY DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053754",
            "telephone_number": "731-668-1271",
            "fax_number": "731-424-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSETT-DIVINE",
        "first_name": "CLAUDIA",
        "middle_name": "LILIAN",
        "name_prefix": "Ms.",
        "credential": "LPC/MHSP.,LADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "0000000175",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "0000001758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "GOSSETT-DIVINE",
            "prefix": "MS.",
            "credential": "L.P.C.,L.A.D.A.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 Oct 7, 2008; 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.