Mr Jesse Ralph Carpenter, LPC-MHSP is a
Counselor - Professional based in Mason, Tennessee. Mr Jesse Ralph Carpenter is licensed to practice in Tennessee (license number LPC0000001485) and his current practice location is
2855 Sinai Dr, Mason, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(901) 496-7476.
NPI number for Mr Jesse Ralph Carpenter is 1902046386 and his current mailing address is 2855 Sinai Dr, Mason, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902046386.
Healthcare Provider's Profile
| Full Name | Mr Jesse Ralph Carpenter |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 2855 Sinai Dr, Mason, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902046386
- Provider Enumeration Date: 02/25/2009
- Last Update Date: 02/25/2009
Medical Identifiers
Medical identifiers for Mr Jesse Ralph Carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902046386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC0000001485 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jesse Ralph Carpenter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jesse Ralph Carpenter, LPC-MHSP
2855 Sinai Dr,
Mason, TN 38049-7627
Ph: (901) 496-7476 | Mr Jesse Ralph Carpenter, LPC-MHSP
2855 Sinai Dr,
Mason, TN 38049-7627
Ph: (901) 496-7476 |
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