Active NPI
Jada Bates
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1740177161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5118 Park Ave Ste 505
Memphis, TN 38117-5713 - Phone
- (901) 528-9863
- NPI assigned
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5118 Park Ave Ste 505
Memphis, TN 38117-5713
Mailing address
1839 Madison Ave Apt 322
Memphis, TN 38104-2793
Phone (404) 640-9020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2025.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1740177161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 MADISON AVE APT 322",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042793",
"telephone_number": "404-640-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 PARK AVE STE 505",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381175713",
"telephone_number": "901-528-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "JADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.