JASON SCRUGGS LPCC
NPI 1124651617
Counselor - Professional in White House, TN
Active since February 13, 2020
About Jason Scruggs Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON SCRUGGS LPCC (NPI 1124651617) is an individual professional provider in White House, Tennessee, licensed in Kentucky (276398) and active in the NPI registry since February 2020. He maintains a secondary practice location in Bowling Green.
NPPES Registry Identity
NPI1124651617
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJASON SCRUGGSCredential: LPCC
Location Address408 HIGHWAY 76White House, TN 37188-9201
Mailing Address101 Garland CtWhite House, TN 37188-5400 · (270) 535-1209 · Fax (270) 842-5268
Phone(270) 535-1209
Sole ProprietorNo
Enumeration DateFebruary 13, 2020
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1124651617 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 276398
Also ListedCounselorTaxonomy 101Y00000X · License 262441 (KY)
Also ListedRehabilitation CounselorTaxonomy 225C00000X
408 HIGHWAY 76, White House, TN 37188
Secondary Practice Location 1
Location 1501 Chestnut StBowling Green, KY 42101-1737 · Phone (270) 901-5000 · Fax (270) 842-5268
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124651617, enumerated as an "individual" on February 13, 2020.
The provider is located at 408 HIGHWAY 76 WHITE HOUSE, TN 37188 and the phone number is (270) 535-1209.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
