Jennifer Jean Parrish, MED.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

127 Issued in TN

Practice address

3132 Old Clarksville Spgfld Rd
Adams, TN 37010

Phone

(301) 752-6997

NPI assigned

Apr 24, 2018

Last updated

May 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phoenix Fire ABA

  • Community/Behavioral Health Agency
  • Clarksville, TN
  • NPI 1124737283
  NPD

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1912495102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 OLD CLARKSVILLE SPGFLD RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108907",
            "telephone_number": "301-752-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 OLD CLARKSVILLE SPGFLD RD",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "37010",
            "telephone_number": "301-752-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "MED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Hart, MA, LPC
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• Casi Anne Miller
• Skylar Riley Miller
• Oak Pointe LLC
• Hannah Pugh
• Beverly Kay Smith, NP
• Kaleena Danielle Smith, M.S., CCC-SLP
• The Heartwork Center
• Eman Thompson

• Behavior Analyst in Adams, TN
• Providers in Adams, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.