JASMINE BRIEANN BEVENS LPC/MHSP
NPI 1104629344
Counselor - Mental Health in Kingsport, TN
About Jasmine Brieann Bevens Lpc/mhsp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE BRIEANN BEVENS LPC/MHSP (NPI 1104629344) is an individual mental health provider in Kingsport, Tennessee, licensed in Tennessee (7810) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jasmine Brieann Bevens Lpc/mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
KINGSPORT, TN 37660
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jasmine Bevens's NPI number?
The NPI number for Jasmine Bevens is 1104629344. It was assigned to this individual provider in the NPPES registry on March 31, 2025.
Where is Jasmine Bevens located?
Jasmine Bevens practices at 1536 Bridgewater Ln Ste 103, Kingsport, TN 37660. The listed phone number is (423) 343-5665.
What is Jasmine Bevens's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jasmine Bevens enrolled in Medicare?
Yes. Jasmine Bevens is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jasmine Bevens was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jasmine Brieann Bevens, LPC/MHSP · NPI 1104629344
Mental Health provider in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since March 31, 2025.
## Identity
- **NPI:** 1104629344 (Entity type: Individual)
- **Enumerated:** March 31, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 7810 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1536 BRIDGEWATER LN STE 103, Kingsport, TN 37660-4103
- **Phone:** (423) 343-5665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104629344) · Data from the CMS NPPES public registry.