Individual provider Active NPI

Jessica Samford Conley, LPC - MHSP

  • Mental Health Counselor
  • Lexington, TN
National Provider Identifier
1386804862
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2173 Issued in TN
Practice address
66 Stringtown Rd
Lexington, TN 38351-4836
Phone
(615) 348-5707
NPI assigned
Jun 10, 2008
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2173 TN Primary

Addresses

Primary practice location

66 Stringtown Rd
Lexington, TN 38351-4836

Mailing address

PO Box 463
Lexington, TN 38351-0463
Phone (615) 415-2212

Other practice location 1

141 New Shackle Island Rd
Hendersonville, TN 37075-2327
Phone (615) 415-2212

Other identifiers 2

IdentifierTypeStateIssuer
12069176OtherTNCAQH
2173OtherTNLPC- MHSP LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1386804862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 463",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383510463",
            "telephone_number": "615-415-2212",
            "fax_number": "866-867-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 STRINGTOWN RD",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383514836",
            "telephone_number": "615-348-5707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 New Shackle Island Rd",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752327",
            "country_code": "US",
            "telephone_number": "615-415-2212",
            "fax_number": "866-867-4298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "JESSICA",
        "middle_name": "SAMFORD",
        "credential": "LPC - MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12069176",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC- MHSP LIC #",
            "identifier": "2173",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.