Jennifer Hasty, LPC-MHSP-TEMP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5344 Issued in TN

Practice address

2700 S Roan St Ste 410
Johnson City, TN 37601-7638

Phone

(423) 579-4958

NPI assigned

Jan 18, 2021

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Mar 23, 2026 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dragfonfly Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Johnson City, TN
  • NPI 1134689730
  NPD (past)
• Dragonfly Medical and Behavioral Health Professsional Corporation

  • Addiction Medicine (Family Medicine) Physician
  • Johnson City, TN
  • NPI 1689134231
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1700475324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 HAPPY VALLEY ST",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432839",
            "telephone_number": "423-579-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S ROAN ST STE 410",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017638",
            "telephone_number": "423-579-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTY",
        "first_name": "JENNIFER",
        "credential": "LPC-MHSP-TEMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Harvey, DO
• Syed Ghazanfar Hasan, DO
• Austin B Hash, DO
• Samra Hassan, MD
• Erin Hassig Egan, M.S., LMFT
• Eugene Paul Hatcher, PHYSICIAN ASSISTANT
• Glen H Hatcher, M.D.
• John Lusk Hathaway, D.D.S.
• Karen G Hathaway, FNP
• Jason T Hatjioannou, MD

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, 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 Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.