Individual provider Active NPI

Jennifer G. Ferren, LPC-MHSP, NCC

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1417321555
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3594 Issued in TN
Practice address
895 S Cooper St
Suite 3
Memphis, TN 38104-5604
Phone
(901) 498-9126
NPI assigned
Nov 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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 2050 MS
Professional Counselor 101YP2500X 3594 TN Primary

Addresses

Primary practice location

895 S Cooper St
Suite 3
Memphis, TN 38104-5604

Mailing address

895 S. Cooper Street
Suite 1, 2, 3 & 6
Memphis, TN 38104
Phone (901) 498-9126

Other identifiers 1

IdentifierTypeStateIssuer
Q024104MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
3594TNMDProfessional Counselor
2050MSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ferren Family Counseling LLC Professional Current Accepting new patients

Locations

152 Timber Creek Dr
Ste 4
Cordova, TN 38018
Phone (901) 308-6991

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": "1448755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1417321555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 S. COOPER STREET",
            "address_2": "SUITE 1, 2, 3 & 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-498-9126",
            "fax_number": "901-722-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 S COOPER ST",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045604",
            "telephone_number": "901-498-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREN",
        "first_name": "JENNIFER",
        "middle_name": "G.",
        "credential": "LPC-MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-29",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024104",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.