JARED PRENTISS LPC-MHSP NPI 1528459344

NPI Information

  • NPI: 1528459344
  • Provider Name: JARED PRENTISS, LPC-MHSP
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 5320 HICKORY HOLLOW PKWY
    ANTIOCH, TN
    ZIP 37013
  • Phone: (615) 669-5605

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NPI Details

Jared Prentiss, LPC-MHSP is a professional counselor in Antioch, TN. Jared Prentiss, LPC-MHSP NPI is 1528459344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5320 HICKORY HOLLOW PKWY
ANTIOCH, TN
ZIP 37013-128
Phone: (615) 669-5605

The enumeration date for this NPI number is 2/16/2015 and was last updated on 3/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health2904TENNESSEENo
2101YP2500XCounselorProfessional2904TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q014226MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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