CARL DAVID JENNINGS LPC
NPI 1184980013
Counselor - Professional in Chattanooga, TN
About Carl David Jennings Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL DAVID JENNINGS LPC (NPI 1184980013) is an individual professional provider in Chattanooga, Tennessee, licensed in Tennessee (2145) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carl David Jennings Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carl Jennings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Antioch, TN 37013
- Reassigned Medicare billing, Tennessee enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHATTANOOGA, TN 37421
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 Carl Jennings's NPI number?
The NPI number for Carl Jennings is 1184980013. It was assigned to this individual provider in the NPPES registry on April 4, 2012.
Where is Carl Jennings located?
Carl Jennings practices at 6110 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 499-1031.
What is Carl Jennings's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Carl Jennings enrolled in Medicare?
Yes. Carl Jennings is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carl Jennings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Jennings reassigns Medicare benefits to Guiding Star Mental Health (Antioch, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Jennings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carl Jennings was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Carl David Jennings, LPC · NPI 1184980013
Professional provider in Chattanooga, Tennessee. Individual provider, active in the CMS NPPES registry since April 4, 2012.
## Identity
- **NPI:** 1184980013 (Entity type: Individual)
- **Enumerated:** April 4, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2145 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 6110 SHALLOWFORD RD, Chattanooga, TN 37421-1894
- **Phone:** (423) 499-1031
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Guiding Star Mental Health (NPI 1518716414, Antioch, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1184980013) · Data from the CMS NPPES public registry.