Individual provider Active NPI

Jessica Lynn Korzyniowski, PH.D

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1760643183
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000002288 Issued in TN
Practice address
2825 Paddle Wheel Drive
Nashville, TN 37214-1185
Phone
(423) 322-5102
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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 LPC0000002288 TN Primary

Addresses

Primary practice location

2825 Paddle Wheel Drive
Nashville, TN 37214-1185

Mailing address

2825 Paddle Wheel Dr
Nashville, TN 37214-1185
Phone (423) 322-5102

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC0000002288TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1760643183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 PADDLE WHEEL DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372141185",
            "telephone_number": "423-322-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PADDLE WHEEL DRIVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372141185",
            "telephone_number": "423-322-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORZYNIOWSKI",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.