Jill Robin Jackson, LPC/MHSP, PMHNP-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1739 Issued in TN

Practice address

537 Blythe Ave
Gallatin, TN 37066-2223

Phone

(615) 527-3060

Fax

(615) 206-8004

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Jill Robin Faughn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Serenity Counseling & Mediation Center

  • Professional Counselor
  • Gallatin, TN
  • NPI 1386175545
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1740318757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JILL",
        "middle_name": "ROBIN",
        "name_prefix": "Mrs.",
        "credential": "LPC/MHSP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "274143",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "FAUGHN",
            "middle_name": "ROBIN",
            "prefix": "MRS.",
            "credential": "MA, LPC/MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Gallatin, TN
• Providers in Gallatin, 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 1, 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.

Verify at the official NPI Registry.