Jenny Ann Goins

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8560 Issued in TN

Practice address

1008 Executive Dr Ste 101
Hixson, TN 37343-3992

Phone

(423) 443-3336

Fax

(423) 464-7510

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenny.goins@hca1.eclinicaldirectplus.com

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.

• Agape Youth Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Chattanooga, TN
  • NPI 1528405925
  NPD
• Mental Health Therapy Center - Chattanooga, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chattanooga, TN
  • NPI 1588405500
  NPD

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1386412815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MACKEY BRANCH DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213225",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 EXECUTIVE DR STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433992",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Mackey Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374213225",
            "country_code": "US",
            "telephone_number": "423-443-3336",
            "fax_number": "423-464-7510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOINS",
        "first_name": "JENNY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Mathis Gilley, OTD
• Sarah Gilliam
• John Charles Gilpin, DPT
• Wade Gilreath
• Charles Gober, MD
• Richard Ronald Goldston, OD
• Matthew W Good, MD
• Mary Elisabeth Grace Goodwin
• Rosabelle Faircloth Gorman, LCSW
• Justin D Gorsline, NP

• Clinical Social Worker in Hixson, TN
• Providers in Hixson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.