Individual provider Active NPI

Jennifer Ann Gardner Cummins, MA

  • Mental Health Counselor
  • Chattanooga, TN
National Provider Identifier
1861535866
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
6216 Airpark Dr
Chattanooga, TN 37421-2988
Phone
(423) 899-0024
Fax
(423) 899-5688
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Professional Counselor 101YP2500X 2152 TN

Addresses

Primary practice location

6216 Airpark Dr
Chattanooga, TN 37421-2988

Mailing address

6216 Airpark Dr
Chattanooga, TN 37421-2988
Phone (423) 899-0024

Other practice location 1

5726 Marlin Rd
Franklin Building, Suite 2005
Chattanooga, TN 37411
Phone (423) 954-8848

Other identifiers 1

IdentifierTypeStateIssuer
2152OtherTNSTATE LICENSE

Other names 1

  • Jennifer Cummins Other name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2152TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Associates P C CurrentSince Jun 21, 2020 Accepting new patients

Locations

6216 Airpark Dr
Chattanooga, TN 37421
Phone (423) 899-0024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1861535866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212988",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212988",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5726 Marlin Rd",
            "address_2": "Franklin Building, Suite 2005",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37411",
            "country_code": "US",
            "telephone_number": "423-954-8848",
            "fax_number": "423-954-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER CUMMINS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2152",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2152",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CUMMINS",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.