Jacob Henry, LPC-MHSP-S, LPCC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3595 Issued in TN

Practice address

5217 Maryland Way Ste 307
Brentwood, TN 37027-1056

Phone

(615) 882-1792

NPI assigned

Sep 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2015

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)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• RH Mental Health, LLC

  • Multi-Specialty Clinic/Center
  • Murfreesboro, TN
  • NPI 1598413833
  Medicare reassignment Care Compare group NPD
• Wellbee One

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brentwood, TN
  • NPI 1528788239
  NPD
• Tulsa Emh1 LLC

  • Mental Health Counselor
  • Tulsa, OK
  • NPI 1316685688
  NPD
• Mental Health Cooperative, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1083632897
  NPD (past)

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1487103701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 COBBLE ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117912",
            "telephone_number": "502-396-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 MARYLAND WAY STE 307",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271056",
            "telephone_number": "615-882-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 S Yale Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367034",
            "country_code": "US",
            "telephone_number": "918-992-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JACOB",
        "credential": "LPC-MHSP-S, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401224036",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279920",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3595",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3595",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "12106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Warren Hendricks, D.M.D.
• James Robert Hendricks, DMD,MPH
• Julie A Hendrix, M.D.
• Laureli Hendrix
• Hillary Grace Henize, PSY.D.
• Stephany Henry
• Cody D Henson
• Piper L Henson
• Jonathan David Herberich, D.D.S.
• Herbertrx, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.