Organization Active NPI

Professional Counseling & Medical Associates

  • Mental Health Counselor
  • Paris, TN
National Provider Identifier
1427093798
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3962 Issued in TN
Legal business name
PROFESSIONAL COUNSELING & MEDICAL ASSOCIATES
Practice address
2920 Highway 641 N
Paris, TN 38242-8832
Phone
(731) 642-3600
Fax
(731) 642-6037
NPI assigned
Jun 19, 2006
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Sherry Lynn Dockins-Pritchett, LCSWNPI 1871792283
Title
Owner
Phone
(731) 642-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3962 TN Primary

Addresses

Primary practice location

2920 Highway 641 N
Paris, TN 38242-8832

Mailing address

230-B Tyson Avenue
Box 132
Paris, TN 38242-0132
Phone (731) 642-3600

Other identifiers 2

IdentifierTypeStateIssuer
1508500OtherTNMEDICAID GROUP
39224262OtherTNMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000514 TN Part B Supplier - Clinic/Group Practice 0648358945 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, TN

National Provider Directory

National Provider Directory

Locations

2835 E Wood St
Paris, TN 38242
Phone (731) 642-3600

2920 Highway 641 N
Paris, TN 38242
Phone (731) 642-3600

307 N Market St
Paris, TN 38242
Phone (731) 642-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1427093798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230-B TYSON AVENUE",
            "address_2": "BOX 132",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382420132",
            "telephone_number": "731-642-3600",
            "fax_number": "731-642-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 HIGHWAY 641 N",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382428832",
            "telephone_number": "731-642-3600",
            "fax_number": "731-642-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING & MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "DOCKINS-PRITCHETT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-642-3600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1508500",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "39224262",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.