Individual provider Active NPI

Joshua Krebs, MS, LPC

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1851863450
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4511 Issued in TN
Practice address
575 S Royal St Ste 24
Jackson, TN 38301-7307
Phone
(731) 215-0502
NPI assigned
Dec 20, 2018
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 4511 TN Primary

Addresses

Primary practice location

575 S Royal St Ste 24
Jackson, TN 38301-7307

Mailing address

575 S Royal St Ste 24
Jackson, TN 38301-7307
Phone (731) 215-0502

Other identifiers 1

IdentifierTypeStateIssuer
Q049885MedicaidTN

Other names 1

  • Joshua Krebs Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312003147 TN Practitioner - Mental Health Counselor 0547606576 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks Resources LLCGroup PAC ID 2860844560, 3 clinicians
Better Health Family Clinic IncGroup PAC ID 6204332067, 5 clinicians

Practice addresses (Care Compare)

1186 Hwy 45 Bypass
Suite D
Jackson, TN 38301-3256
Phone (731) 215-0502

305 E Tickle St
Suite a
Dyersburg, TN 38024-3173
Phone (731) 589-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Resources, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Better Health Family Clinic Inc CurrentSince Feb 6, 2026 Accepting new patients
Anew Family Medical PLLC Past Accepting new patients
Mark Baldwin Professional Past Accepting new patients

Locations

305 E Tickle St
Ste A
Dyersburg, TN 38024
Phone (731) 589-9292

1186 Highway 45 Byp
#D
Jackson, TN 38301
Phone (731) 215-0502

575 S Royal St
Ste 24
Jackson, TN 38301
Phone (731) 215-0502

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1851863450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 24",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-215-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S ROYAL ST STE 24",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017307",
            "telephone_number": "731-215-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBS",
        "first_name": "JOSHUA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q049885",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "KREBS",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.