Mark Pafford, M.A., MDIV

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

665 S Jefferson Ave
Cookeville, TN 38501-4011

Phone

(931) 528-0051

Fax

(931) 528-0021

NPI assigned

Oct 18, 2007

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Authentic Being Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Smithville, TN
  • NPI 1588417331
  NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1396934048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 4TH ST",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661416",
            "telephone_number": "931-252-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014011",
            "telephone_number": "931-528-0051",
            "fax_number": "931-528-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Smithville",
            "state": "TN",
            "postal_code": "371661416",
            "country_code": "US",
            "telephone_number": "931-252-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAFFORD",
        "first_name": "MARK",
        "credential": "M.A., MDIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q057064",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Danielle Owens
• Pepper Reaves Owens
• David M Owsley, DMD
• Robert E Paasche, MD
• Sarah Pacuinas
• Tonya Page, LPN
• Michael Anton Pahl, M.D.
• Paige Gernt LLC
• Pain MD LLC
• Mike Palk, L.P.C.

• Professional Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.