John H Redden, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC 1597 Issued in TN

Practice address

367B N Parkway Ste 1
Jackson, TN 38305-2899

Phone

(731) 668-2277

Fax

(731) 660-0510

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David Pickering

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1851569412
  NPD (past)
• Gayle M Cravens

  dba Dr Gayle Michael Cravens

  • Mental Health Counselor
  • Jackson, TN
  • NPI 1972702223

  Professional

  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821184805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAURIE CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053046",
            "telephone_number": "731-697-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367B N PARKWAY STE 1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052899",
            "telephone_number": "731-668-2277",
            "fax_number": "731-660-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC    1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Mahala Record, MS, CCC-SLP
• Recovery Specialists of Mid South, LLC (Mid South Recovery)
• Red Embers Emergency Physicians, LLC
• Redden Total Therapy-South, LLC
• Redden Total Therapy, LLC
• Payton Michael Redden, M.P.T
• Shelley Coleman Redden, OT
• Redemption Recovery Center, LLC (AppleGate Recovery - Jackson)
• Jessica Frances Redfern, RBT
• Cynthia Ann Reece, RN

• Professional Counselor in Jackson, TN
• Providers in Jackson, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.