Individual provider Active NPI

Jeffrey Mixon Lowe, LPC-MHSP

  • Mental Health Counselor
  • Jackson, TN
National Provider Identifier
1376290122
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5322 Issued in TN
Practice address
37 Sandstone Cir Ste 92
Jackson, TN 38305-3168
Phone
(731) 265-6025
Fax
(731) 265-6028
NPI assigned
Mar 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5322 TN
Mental Health Counselor 101YM0800X 5322 TN Primary

Addresses

Primary practice location

37 Sandstone Cir Ste 92
Jackson, TN 38305-3168

Mailing address

1000 Urban Center Dr Ste 600
Vestavia, AL 35242-2584
Phone (205) 208-9312

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240212004371 TN Practitioner - Mental Health Counselor 5092166587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Impact Behavioral Counseling LLCGroup PAC ID 1355604836, 14 clinicians

Practice addresses (Care Compare)

37 Sandstone Cir
Suite 92B
Jackson, TN 38305-2089
Phone (731) 265-6025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5322TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Behavioral Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

48 Medical Park Dr E
Ste 453
Birmingham, AL 35235
Phone (205) 517-7730

1000 Urban Center Dr
Ste 600
Vestavia, AL 35242
Phone (205) 208-0312

37 Sandstone Cir
Ste 92
Jackson, TN 38305
Phone (731) 265-6025

37 Sandstone Cir
Ste 92B
Jackson, TN 38305
Phone (731) 265-6025

801 Hill St
Ste A
Springfield, TN 37172
Phone (615) 382-3002

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1376290122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 URBAN CENTER DR STE 600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352422584",
            "telephone_number": "205-208-9312",
            "fax_number": "205-848-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SANDSTONE CIR STE 92",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053168",
            "telephone_number": "731-265-6025",
            "fax_number": "731-265-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "JEFFREY",
        "middle_name": "MIXON",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "5322",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.