Active NPI
Megan Elise Ethredge, LPC/MHSP
- Professional Counselor
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5734
- Practice address
- 367B N Parkway Ste 1
Jackson, TN 38305-2899 - Phone
- (731) 668-2277
- NPI assigned
- Feb 23, 2022
- Last updated
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 5734 | TN | Primary |
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 1
- Megan Elise Hale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Current | Accepting new patients | |
| McKenzie Medical Center PC | Current | Accepting new patients | |
| McKenzie Medical Center PC | Current | Accepting new patients | |
| Gayle M Cravens | Professional | Current | Accepting new patients |
| David Pickering | Past | Accepting new patients | |
| Premier Family Care Inc. | 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
175 Wildcat Ln
Mc Kenzie, TN 38201
Phone (731) 352-4027
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
Organizations & group practices 6
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.
-
dba Dr Gayle Michael Cravens
- Mental Health Counselor
- Jackson, TN
- NPI 1972702223
Professional
-
dba Hometown Health Clinic
- Rural Health Clinic/Center
- McKenzie, TN
- NPI 1477516953
-
dba Hometown Health Clinic
- Rural Health Clinic/Center
- Greenfield, TN
- NPI 1932084274
-
- Clinical Psychologist
- Jackson, TN
- NPI 1851569412
-
- Family Medicine Physician
- Scotts Hill, TN
- NPI 1992338644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1669128237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 SPRINGFIELD CV",
"city": "JACKSON",
"state": "TN",
"postal_code": "383059779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367B N PARKWAY STE 1",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052899",
"telephone_number": "731-668-2277"
}
],
"practiceLocations": [
{
"address_1": "205A Hospital Dr",
"address_purpose": "LOCATION",
"city": "Mc Kenzie",
"state": "TN",
"postal_code": "382011649",
"country_code": "US",
"telephone_number": "731-352-7907",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9458 SR-100",
"address_purpose": "LOCATION",
"city": "Scotts Hill",
"state": "TN",
"postal_code": "38374",
"country_code": "US",
"telephone_number": "731-549-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "175 Wildcat Ln",
"address_purpose": "LOCATION",
"city": "Mc Kenzie",
"state": "TN",
"postal_code": "382012020",
"country_code": "US",
"telephone_number": "731-352-4027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Highway 641 N",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "TN",
"postal_code": "383203012",
"country_code": "US",
"telephone_number": "731-213-2344",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ETHREDGE",
"first_name": "MEGAN",
"middle_name": "ELISE",
"credential": "LPC/MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "HALE",
"middle_name": "ELISE",
"credential": "LPC/MHSP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.