Individual provider Active NPI

Megan Elise Ethredge, LPC/MHSP

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1669128237
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5734 Issued in TN
Practice address
367B N Parkway Ste 1
Jackson, TN 38305-2899
Phone
(731) 668-2277
NPI assigned
Feb 23, 2022
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530003709 TN Practitioner - Mental Health Counselor 4284076670 Reassigns benefits to 1 organization

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
McKenzie Medical Center PCGroup PAC ID 2365427853, 32 clinicians

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

OrganizationSpecialtyStatusNew patients
McKenzie Medical Center PC Current Accepting new patients
McKenzie Medical Center PC CurrentSince May 1, 2024 Accepting new patients
McKenzie Medical Center PC CurrentSince May 1, 2024 Accepting new patients
Gayle M Cravens Professional CurrentSince Feb 27, 2022 Accepting new patients
David Pickering PastSince Feb 27, 2022 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.

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

Verify at the official NPI Registry.