Active NPI
Jill Robin Jackson, APRN LPCMHSP PMHNPBC
- Psychiatric/Mental Health Nurse Practitioner
- Gallatin, TN
National Provider Identifier
1740318757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 43099
- Practice address
- 537 Blythe Ave
Gallatin, TN 37066-2223 - Phone
- (615) 527-3060
- Fax
- (615) 206-8004
- NPI assigned
- Mar 1, 2007
- Last updated
- Oct 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 274143 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 43099 | TN | Primary |
| Mental Health Counselor | 101YM0800X | 1739 | TN |
Addresses
Primary practice location
537 Blythe Ave
Gallatin, TN 37066-2223
Mailing address
1124 New Highway 52 E
Westmoreland, TN 37186-5032
Phone (615) 644-2000
Other practice location 1
1124 New Highway 52 E
Westmoreland, TN 37186-5032
Phone (615) 644-2000
Other names 1
- Mrs. Jill Robin Faughn
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1739 | TN | MD | Behavioral Analyst |
| 274143 | TN | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Counseling & Mediation Center | Multi-Specialty | Past | Accepting new patients |
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.
-
- Professional Counselor
- Gallatin, TN
- NPI 1386175545
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793145600000",
"number": "1740318757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 NEW HIGHWAY 52 E",
"city": "WESTMORELAND",
"state": "TN",
"postal_code": "371865032",
"telephone_number": "615-644-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 BLYTHE AVE",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662223",
"telephone_number": "615-527-3060",
"fax_number": "615-206-8004"
}
],
"practiceLocations": [
{
"address_1": "1124 New Highway 52 E",
"address_purpose": "LOCATION",
"city": "Westmoreland",
"state": "TN",
"postal_code": "371865032",
"country_code": "US",
"telephone_number": "615-644-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "JILL",
"middle_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "APRN LPCMHSP PMHNPBC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2026-10-28",
"certification_date": "2026-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TN",
"license": "274143",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "43099",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "1739",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "FAUGHN",
"middle_name": "ROBIN",
"prefix": "MRS.",
"credential": "MA, LPC/MHSP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.