Jennifer R Havens, LPC
Individual provider Active NPI Professional Counselor · Mountain City, TN
NPI 1780189647 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1780189647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 332 Hospital Rd
Mountain City, TN 37683-4309 - Phone
- (423) 528-1535
- NPI assigned
- Mar 23, 2018
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | TN | ||
| Mental Health Counselor | 101YM0800X | TN | ||
| Professional Counselor | 101YP2500X | TN | Yes |
Addresses
Primary practice location
332 Hospital Rd
Mountain City, TN 37683-4309
Mailing address
332 Hospital Rd
Mountain City, TN 37683-4309
Phone (423) 528-1535
Other providers in Mountain City, TN
- Abigail Harless
- Lindsay Harsh
- Henry Renick Hartsoe
- Deborah J Hassebrock
- Barbara Hathaway
- Brenda A. Hawkins III
- Healthstat Onsite Clinic Parkdale Plant 16
- Wendy Lee Henley
- High Country Chiropractic PLLC
- High Country Imaging Inc
All providers in Mountain City, TN · Professional Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2018. 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.