Jennifer Faires

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

470 Industrial LN
Oneida, TN 37841-6294

Phone

(423) 663-9200

NPI assigned

Feb 22, 2022

Last updated

Dec 6, 2023By 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

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Peoples Health Councils IncGroup PAC ID 7517945678, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mountain Peoples Health Councils Inc

  dba Mountain Peoples Oneida Clinic

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1871594333
  Medicare reassignment Care Compare group NPD
• Mountain People's Health Councils, Inc

  • Federally Qualified Health Center (FQHC)
  • Oneida, TN
  • NPI 1649011875
  NPD
• Mountain Peoples Health Councils Inc

  dba Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TN
  • NPI 1720043615
  NPD
• Mountain Peoples Health Councils Inc.

  dba Huntsville Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, TN
  • NPI 1326049347
  NPD
• Mountain Peoples Health Councils Inc

  • Dental Clinic/Center
  • Oneida, TN
  • NPI 1649635939
  NPD (past)
• River City Counseling PC

  • Mental Health Counselor
  • Hixson, TN
  • NPI 1528329505
  NPD (past)

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1679228399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416294",
            "telephone_number": "423-779-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416294",
            "telephone_number": "423-663-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRES",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Edwards
• Elderberry Health PLLC
• Elderberry Health PLLC
• Elk Valley Home Health Care Agency, LLC (Deaconess HomeCare)
• Debra S Faires, DDS
• Family and Pediatric Care Clinic LLC
• Family First Urgent Care & Wellness
• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Ashley Rose Fleck, DDS

• Counselor in Oneida, TN
• Providers in Oneida, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.