Trista Nicole Adams, MS
Individual provider Active NPI Counselor · Jackson, TN
NPI 1740557883 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1740557883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 60 Lynoak CV
Suite C
Jackson, TN 38305-2909 - Phone
- (731) 668-7593
- Fax
- (731) 660-7512
- NPI assigned
- Nov 17, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
60 Lynoak CV
Suite C
Jackson, TN 38305-2909
Mailing address
2650 Box Elder Dr
Adamsville, TN 38310-3414
Phone (173) 166-8759
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.