Active NPI
Jessica Smith Hamm, LPC, MHSP
- Mental Health Counselor
- Tullahoma, TN
National Provider Identifier
1649618521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC0000002959
- Practice address
- 709 Davidson St
Tullahoma, TN 37388-3607 - Phone
- (615) 504-1926
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| LPC0000002959 | TN | MD | Mental Health Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000002959 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
709 Davidson St
Tullahoma, TN 37388-3607
Mailing address
1207 Washington St W
Fayetteville, TN 37334-2855
Phone (615) 504-1926
Other names 1
NPPES NPI Registry- Jessica Lee Smith
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2013.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1649618521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 WASHINGTON ST W",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342855",
"telephone_number": "615-504-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 DAVIDSON ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883607",
"telephone_number": "615-504-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMM",
"first_name": "JESSICA",
"middle_name": "SMITH",
"credential": "LPC, MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC0000002959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SMITH",
"middle_name": "LEE",
"credential": "LPC,MHSP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.