Individual provider Active NPI

Jill Robin Jackson, APRN LPCMHSP PMHNPBC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1740318757
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
43099 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
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 274143 TN
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former name

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

LicenseStateTypeSpecialty
1739TNMDBehavioral Analyst
274143TNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.