Individual provider Active NPI

Nancy R Plunk, LPC/MHSP

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1992844955
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2682 Issued in TN
Practice address
26 Lamar Circle
Suite 3
Jackson, TN 38305-1528
Phone
(731) 697-7185
Fax
(731) 736-2530
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 2682 TN Primary

Addresses

Primary practice location

26 Lamar Circle
Suite 3
Jackson, TN 38305-1528

Mailing address

142 Old Bells Loop
Jackson, TN 38305-9609
Phone (731) 697-7185

Other identifiers 1

IdentifierTypeStateIssuer
Q016792MedicaidTN

Other names 1

  • Nancy Clenney Harrell Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Counseling CurrentSince Feb 4, 2024 Accepting new patients

Locations

26 Lamar Cir
Ste 3
Jackson, TN 38305
Phone (731) 337-5091

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1992844955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 OLD BELLS LOOP",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059609",
            "telephone_number": "731-697-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LAMAR CIRCLE",
            "address_2": "SUITE 3",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051528",
            "telephone_number": "731-697-7185",
            "fax_number": "731-736-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUNK",
        "first_name": "NANCY",
        "middle_name": "R",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q016792",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "HARRELL",
            "middle_name": "CLENNEY",
            "credential": "LPC/MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 27, 2023; 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.