Janet Irene Newsham, LPC-MHSP

Individual provider Active NPI Professional Counselor · Pleasant Shade, TN

NPI 1821320565 · NPPES record last updated Mar 16, 2021

Key facts

NPI
1821320565
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
3115 (TN)
Practice address
71 Nickajack Rd
Pleasant Shade, TN 37145-3221
Phone
(615) 486-4646
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PRC15417DCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X PRC15417 DC
Professional Counselor 101YP2500X 3278 CT
Professional Counselor 101YP2500X 3115 TN Yes

Addresses

Primary practice location

71 Nickajack Rd
Pleasant Shade, TN 37145-3221

Mailing address

71 Nickajack Road
Pleasant Shade, TN 37145
Phone (615) 486-4646

Other providers in Pleasant Shade, TN

All providers in Pleasant Shade, TN · Professional Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.