Individual provider Active NPI

Roy Adam Westmoreland, LPC-MHSP

  • Professional Counselor
  • Jamestown, TN
National Provider Identifier
1750427522
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1967 Issued in TN
Practice address
630 N Main St
Jamestown, TN 38556-3738
Phone
(931) 644-1752
Fax
(931) 526-9925
NPI assigned
Jan 29, 2007
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1967 TN Primary

Addresses

Primary practice location

630 N Main St
Jamestown, TN 38556-3738

Mailing address

630 N Main St
Jamestown, TN 38556-3738
Phone (931) 644-1752

Other identifiers 2

IdentifierTypeStateIssuer
Q070056MedicaidTN
1512977MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250708003127 TN Practitioner - Mental Health Counselor 9739693193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of Tennessee LLCGroup PAC ID 5395074728, 35 clinicians

Practice addresses (Care Compare)

1250 Farrow Rd
Memphis, TN 38116-7116
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1967TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care of Tennessee LLC CurrentSince Aug 15, 2024 Accepting new patients
Buckeye Quality Home Health Agency, Inc. PastSince Nov 26, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1250 Farrow Rd
Memphis, TN 38116
Phone (901) 305-0878

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1750427522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563738",
            "telephone_number": "931-644-1752",
            "fax_number": "931-526-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N MAIN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563738",
            "telephone_number": "931-644-1752",
            "fax_number": "931-526-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTMORELAND",
        "first_name": "ROY",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q070056",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512977",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.