Organization Active NPI

Jennifer R. Haywood LPC Inc.

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1912320565
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2718 Issued in TN
Legal business name
JENNIFER R. HAYWOOD LPC INC.
Doing business as
Lifeworks Behavioral Health
Practice address
174 Murray Guard Dr Ste B
Jackson, TN 38305-3742
Phone
(731) 660-0199
Fax
(731) 660-3650
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Mrs. Jennifer R Haywood, LPC-MHSP
Title
Owner
Phone
(731) 660-0199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2718 TN Primary

Addresses

Primary practice location

174 Murray Guard Dr Ste B
Jackson, TN 38305-3742

Mailing address

174 Murray Guard Dr Ste B
Jackson, TN 38305-3742
Phone (731) 660-0199

Other names 1

  • Lifeworks Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1912320565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "731-660-0199",
            "fax_number": "731-660-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR STE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "731-660-0199",
            "fax_number": "731-660-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R. HAYWOOD LPC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-660-0199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeworks Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.