Active NPI
Jeremy Reid Crady
- Mental Health Counselor
- Brentwood, TN
National Provider Identifier
1891469409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1783
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1783 | TN | MD | Mental 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.