Individual provider Active NPI

Jeremy Reid Crady

  • Mental Health Counselor
  • Brentwood, TN
National Provider Identifier
1891469409
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1783 Issued in TN
Practice address
7015 Concord Rd
Brentwood, TN 37027-6606
Phone
(615) 479-0948
NPI assigned
Aug 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1783 TN Primary

Addresses

Primary practice location

7015 Concord Rd
Brentwood, TN 37027-6606

Mailing address

203 Plantation CT
Dickson, TN 37055-3326
Phone (615) 479-0948

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://nppes.cms.hhs.gov/#/healthInformationExchange Direct

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

State licenses

LicenseStateTypeSpecialty
1783TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1891469409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PLANTATION CT",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370553326",
            "telephone_number": "615-479-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 CONCORD RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276606",
            "telephone_number": "615-479-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADY",
        "first_name": "JEREMY",
        "middle_name": "REID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nppes.cms.hhs.gov/#/healthInformationExchange",
            "affiliation": "N",
            "endpointDescription": "Hopesmith Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Home",
            "address_1": "203 Plantation Ct",
            "city": "Dickson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370553326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.