Jared Prentiss, LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2904 Issued in TN

Practice address

5320 Hickory Hollow Pkwy
Antioch, TN 37013-3128

Phone

(615) 669-5605

NPI assigned

Feb 16, 2015

Last updated

Mar 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prentiss Counseling and Consulting PLLC

  • Mental Health Counselor
  • Antioch, TN
  • NPI 1336645670
  NPD Authorized official

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521849600000",
    "number": "1528459344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 SECRETARIAT DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223568",
            "telephone_number": "615-669-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 HICKORY HOLLOW PKWY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133128",
            "telephone_number": "615-669-5605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1091 Secretariat Dr",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371223568",
            "country_code": "US",
            "telephone_number": "615-669-5605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRENTISS",
        "first_name": "JARED",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-16",
        "last_updated": "2018-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2904",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014226",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prudent Health Services Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2018; 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.