Megan Elise Ethredge, LPC/MHSP
Individual provider Active NPI Professional Counselor · Jackson, TN
NPI 1669128237 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1669128237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 5734 (TN)
- Practice address
- 367B N Parkway Ste 1
Jackson, TN 38305-2899 - Phone
- (731) 668-2277
- NPI assigned
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McKenzie Medical Center PC
Practice addresses (Care Compare)
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
306 Hwy 641 N
Camden, TN 38320-3012
Phone (731) 352-7907
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240530003709 | TN | Practitioner - Mental Health Counselor | 4284076670 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5734 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Current | Accepting new patients | |
| Gayle M Cravens | Professional | Current |
Accepting new patients |
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| Premier Family Care Inc. | Past | Accepting new patients | |
| David Pickering | Past |
Accepting new patients |
Locations
306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344
205 Court Sq
#A
Huntingdon, TN 38344
Phone (731) 535-5765
367B N Parkway
Ste 1
Jackson, TN 38305
Phone (731) 668-2277
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
175 Wildcat Ln
Mc Kenzie, TN 38201
Phone (731) 352-4027
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5734 | TN | Yes |
Addresses
Primary practice location
367B N Parkway Ste 1
Jackson, TN 38305-2899
Mailing address
48 Springfield CV
Jackson, TN 38305-9779
Other practice location 1
205A Hospital Dr
Mc Kenzie, TN 38201-1649
Phone (731) 352-7907
Other practice location 2
9458 Sr-100
Scotts Hill, TN 38374
Phone (731) 549-2600
Other practice location 3
175 Wildcat Ln
Mc Kenzie, TN 38201-2020
Phone (731) 352-4027
Other practice location 4
306 Highway 641 N
Camden, TN 38320-3012
Phone (731) 213-2344
Other names
- Megan Elise Hale
Other providers in Jackson, TN
- Jason Wade Eppler
- John Michael Epps
- Laura Ashley Ermenc
- Luanne Escue
- Kelsey Eskew
- Kay Eubanks
- Cara Evans
- Caroline Evans
- Sylvia J Evans
- John E Everett
All providers in Jackson, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.