Active NPI
Adam Carlucci, M.S.
- Professional Counselor
- Jackson, TN
National Provider Identifier
1710652409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 575 S Royal St Ste 24
Jackson, TN 38301-7307 - Phone
- (731) 215-0502
- Fax
- (731) 345-4086
- NPI assigned
- Aug 13, 2021
- Last updated
- Aug 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
575 S Royal St Ste 24
Jackson, TN 38301-7307
Mailing address
575 S Royal St Ste 24
Jackson, TN 38301-7307
Phone (731) 215-0502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Resources, LLC | Professional | Past | Accepting new patients |
| Mark Baldwin | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Jackson, TN
- NPI 1811490964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1710652409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 S ROYAL ST STE 24",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017307",
"telephone_number": "731-215-0502",
"fax_number": "731-345-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 S ROYAL ST STE 24",
"city": "JACKSON",
"state": "TN",
"postal_code": "383017307",
"telephone_number": "731-215-0502",
"fax_number": "731-345-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLUCCI",
"first_name": "ADAM",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- Cardiothoracic Surgery Center, P.L.C.
- Cardiovascular Clinic of West TN PC (Cardiovascular Clinic of West Tennessee P.C.)
- Care & Cover Homecare PLLC
- Caring Hands Developmental Services Inc.
- Sheila Carlton, NURSE PRACTITIONER
- Robert Bruce Carney III, DDS
- Robert Bruce Carney Jr., DDS
- Samuel Lee Carney, PHD
- Carol P. Lagrange, O.D., P.C. (Lifetime EyeCare)
- Nekayeh Pennington Carothers, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.