Jacob Diddens, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LSW0000014921 Issued in TN

Practice address

210 25TH Ave N Ste 601
Nashville, TN 37203-1631

Phone

(815) 541-1741

NPI assigned

Jun 19, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Nashville Counseling Sessions

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1710673512

  Mental Health

  NPD

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1679317200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BROADWAY APT 128",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032778",
            "telephone_number": "815-541-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031631",
            "telephone_number": "815-541-1741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Glen Echo Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372152898",
            "country_code": "US",
            "telephone_number": "815-541-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDDENS",
        "first_name": "JACOB",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LSW0000014921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nicole Dickinson, P.T.
• Dickson Medical Equipment, Inc
• Abby Dickson
• Addison J Dickson
• Natalie R Dickson, M.D.
• Jeannette Diddens, LCSW
• Mark Diddens, LMSW
• M. Todd Didion, P.T.A.
• Dids Middle TN Resource Center
• Michael J. Dieckhaus, MD

• Mental Health Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.