Active NPI
Lisa U Jarvis, LPC
- Professional Counselor
- Athens, TN
National Provider Identifier
1740480219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1695
- Practice address
- 130 E Washington Ave
Suite 4
Athens, TN 37303-3668 - Phone
- (423) 333-7132
- NPI assigned
- Jul 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6590 | NC | |
| Professional Counselor | 101YP2500X | 1695 | TN | Primary |
Addresses
Primary practice location
130 E Washington Ave
Suite 4
Athens, TN 37303-3668
Mailing address
130 E Washington Ave
Suite 4
Athens, TN 37303-3668
Phone (423) 333-7132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1695 | Other | TN | TN LICENSE NUMBER |
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 |
|---|---|---|---|
| 6590 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255478400000",
"number": "1740480219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E WASHINGTON AVE",
"address_2": "SUITE 4",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033668",
"telephone_number": "423-333-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E WASHINGTON AVE",
"address_2": "SUITE 4",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033668",
"telephone_number": "423-333-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "LISA",
"middle_name": "U",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2009-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "6590",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN LICENSE NUMBER",
"identifier": "1695",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.