Individual provider Active NPI

Cayce Carol Jeanes, LPC-MHSP, TEMPORARY

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1902451750
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
240 Madison Ave Ste 602
Memphis, TN 38103-2770
Phone
(901) 860-4218
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 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 NU Primary

Addresses

Primary practice location

240 Madison Ave Ste 602
Memphis, TN 38103-2770

Mailing address

8652 Wine Leaf CV
Germantown, TN 38139-4443
Phone (901) 486-2527

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caycejeanes@kardiacollective.com

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

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1902451750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8652 WINE LEAF CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381394443",
            "telephone_number": "901-486-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MADISON AVE STE 602",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032770",
            "telephone_number": "901-860-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANES",
        "first_name": "CAYCE",
        "middle_name": "CAROL",
        "credential": "LPC-MHSP, TEMPORARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caycejeanes@kardiacollective.com",
            "affiliation": "N",
            "address_1": "240 Madison Ave Ste 602",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381032770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.