Individual provider Active NPI

Jacob N Parsons-Wells, LMFT

  • Marriage & Family Therapist
  • Maryville, TN
National Provider Identifier
1982905782
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1862 Issued in TN
Practice address
200 E Broadway Ave Ste 200
Maryville, TN 37804-5709
Phone
(865) 238-5358
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1862 TN Primary

Addresses

Primary practice location

200 E Broadway Ave Ste 200
Maryville, TN 37804-5709

Mailing address

200 E Broadway Ave Ste 200
Maryville, TN 37804-5709
Phone (865) 238-5358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 5, 2024 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1862TNMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center PastSince Feb 21, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1982905782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE STE 200",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045709",
            "telephone_number": "865-238-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BROADWAY AVE STE 200",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045709",
            "telephone_number": "865-238-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS-WELLS",
        "first_name": "JACOB",
        "middle_name": "N",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.