Organization Active NPI

Jill Depriest LPC-MHSP

  • Community/Behavioral Health Agency
  • Bartlett, TN
National Provider Identifier
1952836314
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3798 Issued in TN
Legal business name
JILL DEPRIEST LPC-MHSP
Practice address
3826 Thistle Knoll CV
Bartlett, TN 38135-7425
Phone
(901) 305-3167
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Jill Budynas Depriest, LPC-MHSPNPI 1336675297
Title
Therapist
Phone
(901) 305-3167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3798 TN Primary

Addresses

Primary practice location

3826 Thistle Knoll CV
Bartlett, TN 38135-7425

Mailing address

3826 Thistle Knoll CV
Bartlett, TN 38135-7425

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1952836314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 THISTLE KNOLL CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381357425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 THISTLE KNOLL CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381357425",
            "telephone_number": "901-305-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL DEPRIEST LPC-MHSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "DEPRIEST",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "BUDYNAS",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "901-305-3167",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "3798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.