Jemima Mensah, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

25761 Issued in TN

Practice address

433 Nissan Dr Ste 301
Smyrna, TN 37167

Phone

(615) 751-0347

Fax

(615) 249-5162

NPI assigned

Apr 9, 2019

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

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.

• Reform Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Smyrna, TN
  • NPI 1417510363
  Medicare reassignment NPD Authorized official
• Wolf Counseling, LLC

  dba Jillian Wolf, Ph.D., HSP

  • Psychologist
  • Nashville, TN
  • NPI 1477031755
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1659834455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 MEDICAL CENTER PKWY",
            "address_2": "STE 1560",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293758",
            "telephone_number": "615-751-0347",
            "fax_number": "615-249-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 NISSAN DR STE 301",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-751-0347",
            "fax_number": "615-249-5162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Brookshine Prt",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "TN",
            "postal_code": "370132958",
            "country_code": "US",
            "telephone_number": "207-530-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "JEMIMA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049303",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mekonnen, DDS
• Willie Melvin, MD
• Kimber Mendoza
• Keyli Menjivar
• Irene Mensah
• Kelly Anne Messemer, L.P.N.
• Tammy Renae Meyers
• Michael Thomason DDS PLLC
• Erin Wolf Michelier, DPT
• Mid TN Dentistry East Smyrna LLC (Mid TN Dentistry)

• Psychiatric/Mental Health Nurse Practitioner in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.