Active NPI
Jeremy Shapiro, LPC
- Professional Counselor
- Nashville, TN
National Provider Identifier
1558812495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2597
- Practice address
- 842 Tyne Blvd
Nashville, TN 37220-1505 - Phone
- (615) 298-9595
- NPI assigned
- Oct 15, 2016
- Last updated
- Oct 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2597 | TN | Primary |
Addresses
Primary practice location
842 Tyne Blvd
Nashville, TN 37220-1505
Mailing address
4815 Franklin Pike
Nashville, TN 37220-1121
Phone (615) 298-9595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2597 | TN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476489600000",
"number": "1558812495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 FRANKLIN PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372201121",
"telephone_number": "615-298-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 TYNE BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372201505",
"telephone_number": "615-298-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "JEREMY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-15",
"last_updated": "2016-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.