Individual provider Active NPI

Jeffrey Lane Devine, LPC-MHSP

  • Professional Counselor
  • Smyrna, TN
National Provider Identifier
1396269676
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3528 Issued in TN
Practice address
1324 Hazelwood Dr
Smyrna, TN 37167-3922
Phone
(270) 584-3565
NPI assigned
Jul 28, 2017
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104179 KY
Professional Counselor 101YP2500X 3528 TN Primary

Addresses

Primary practice location

1324 Hazelwood Dr
Smyrna, TN 37167-3922

Mailing address

1324 Hazelwood Dr
Smyrna, TN 37167-3922
Phone (270) 584-3565

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
I20240729004439 TN Practitioner - Mental Health Counselor 2860939667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
RH Mental Health LLCGroup PAC ID 2961871397, 14 clinicians

Practice addresses (Care Compare)

1608 Williams Dr
Suite 301
Murfreesboro, TN 37129-3195
Phone (615) 653-4115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104179KYMDProfessional Counselor
3528TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince May 13, 2024 Accepting new patients

Locations

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

1324 Hazelwood Dr
Smyrna, TN 37167
Phone (270) 584-3565

521 Stonecrest Pkwy
Ste 102
Smyrna, TN 37167
Phone (615) 247-6831

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1396269676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 HAZELWOOD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673922",
            "telephone_number": "270-584-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 HAZELWOOD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673922",
            "telephone_number": "270-584-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "JEFFREY",
        "middle_name": "LANE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104179",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.