Active NPI
The Starting Place, LLC
- Mental Health Counselor
- Jackson, TN
National Provider Identifier
1780922393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LSW0000005633
- Legal business name
- THE STARTING PLACE, LLC
- Practice address
- 180 W. University Pkwy
Suite H
Jackson, TN 38305-1612 - Phone
- (731) 499-2508
- NPI assigned
- Jan 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Susan J Lovelace
- Title
- Accounts Manager
- Phone
- (731) 445-0089
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LSW0000005633 | TN | Primary |
| Clinical Social Worker | 1041C0700X | LSW0000005633 | TN |
Addresses
Primary practice location
180 W. University Pkwy
Suite H
Jackson, TN 38305-1612
Mailing address
PO Box 10875
Jackson, TN 38308-0114
Phone (731) 445-0089
National Provider Directory
National Provider DirectoryLocations
201 S Front St
Halls, TN 38040
Phone (731) 836-5617
2790 N Highland Ave
Ste B
Jackson, TN 38305
Phone (615) 205-5808
180 W University Pkwy
Ste H
Jackson, TN 38305
Phone (731) 499-2508
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Jackson, TN
- NPI 1235458779
-
- Clinical Social Worker
- Dyersburg, TN
- NPI 1225288541
-
- Clinical Social Worker
- Jackson, TN
- NPI 1407153406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426550400000",
"number": "1780922393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10875",
"city": "JACKSON",
"state": "TN",
"postal_code": "383080114",
"telephone_number": "731-445-0089",
"fax_number": "731-732-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W. UNIVERSITY PKWY",
"address_2": "SUITE H",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051612",
"telephone_number": "731-499-2508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE STARTING PLACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-17",
"last_updated": "2015-03-17",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "731-445-0089",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LSW0000005633",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000005633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.