Active NPI
Jennifer Ann Gardner Cummins, MA
- Mental Health Counselor
- Chattanooga, TN
National Provider Identifier
1861535866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2152 | Other | TN | STATE LICENSE |
Other names 1
- Jennifer Cummins
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2152 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Associates P C | Current | 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.
-
- Psychiatry Physician
- Chattanooga, TN
- NPI 1649255514
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.