Individual provider Active NPI

Coleman Jeff Helton, LPC

  • Mental Health Counselor
  • Savannah, TN
National Provider Identifier
1689783482
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1838 Issued in TN
Practice address
1410 Pickwick St S
Savannah, TN 38372-3519
Phone
(731) 925-5054
Fax
(731) 925-5699
NPI assigned
Aug 29, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC1838 TN Primary
Professional Counselor 101YP2500X LPC1838 TN
Social Worker 104100000X LPC 1838 TN

Addresses

Primary practice location

1410 Pickwick St S
Savannah, TN 38372-3519

Mailing address

1109 Briarwood Dr
Iuka, MS 38852-8427
Phone (731) 925-5054

Other identifiers 1

IdentifierTypeStateIssuer
573121000MedicaidTN

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
I20240105003356 TN Practitioner - Mental Health Counselor 7315398161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Centers and Clinics of TennesseeGroup PAC ID 3678475621, 13 clinicians

Practice addresses (Care Compare)

1410 Pickwick St S
Savannah, TN 38372-3519
Phone (731) 925-5054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1838TNMDMental Health Counselor
LPC 1838TNMDSocial Worker
1838TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Centers & Clinics of Tennessee Mental Health CurrentSince Jan 3, 2024 Accepting new patients

Locations

10710 Old Highway 64
Bolivar, TN 38008
Phone (731) 658-6113

1410 Pickwick St
Savannah, TN 38372
Phone (731) 925-5054

Organizations & group practices 1

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1689783482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BRIARWOOD DR",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388528427",
            "telephone_number": "731-925-5054",
            "fax_number": "731-925-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 PICKWICK ST S",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723519",
            "telephone_number": "731-925-5054",
            "fax_number": "731-925-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "COLEMAN",
        "middle_name": "JEFF",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC1838",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC1838",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LPC 1838",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573121000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.