Individual provider Active NPI

Jennifer Lynn Farmer, LPC-MHSP

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
National Provider Identifier
1558086074
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
5251 Issued in TN
Practice address
23 Weatherford SQ
Jackson, TN 38305-2202
Phone
(731) 217-3777
Fax
(866) 593-7743
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5251 TN Primary

Addresses

Primary practice location

23 Weatherford SQ
Jackson, TN 38305-2202

Mailing address

23 Weatherford SQ
Jackson, TN 38305-2202
Phone (731) 217-3777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfarmer@applegaterecovery.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5251TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adjuvant Behavioral Health Inc CurrentSince Jun 10, 2024 Accepting new patients
Adjuvant Behavioral Health Inc CurrentSince Jun 10, 2024 Accepting new patients

Locations

3200 West End Ave
Ste 564
Nashville, TN 37203

11754 Jollyville Rd
Ste 110
Austin, TX 78759
Phone (512) 331-2700

Organizations & group practices 2

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1558086074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WEATHERFORD SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052202",
            "telephone_number": "731-217-3777",
            "fax_number": "866-593-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEATHERFORD SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052202",
            "telephone_number": "731-217-3777",
            "fax_number": "866-593-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "5251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfarmer@applegaterecovery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "23 Weatherford Sq",
            "city": "Jackson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "383052202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.