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CARL DAVID JENNINGS LPC
NPI 1184980013
Counselor - Professional in Chattanooga, TN

Active since April 04, 2012PECOS Enrolled
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 499-1031 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1184980013
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCARL DAVID JENNINGSCredential: LPC
Location Address6110 SHALLOWFORD RDChattanooga, TN 37421-1894
Mailing Address6110 Shallowford RdChattanooga, TN 37421-1894 · (423) 499-1031
Phone(423) 499-1031
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 4, 2012
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1184980013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 2145
6110 SHALLOWFORD RD, Chattanooga, TN 37421
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carl David Jennings Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406344514
PECOS Enrollment IDI20251021003836
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. REBEKAH GOOD DOREAU M.A.
Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (888) 291-4357
TODD DOUGLAS EATON PH.D.
Psychologist (Clinical)
6110 SHALLOWFORD RD, C O CRC
CHATTANOOGA, TN 37421
Hamilton County (800) 632-6074
KELLI CRAIG
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031
AMORA ANN GORDON
Social Worker
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (765) 977-8671
BRIAN ALLEN KEPLINGER
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (888) 291-4357
MARY IVON MONTGOMERY
Marriage & Family Therapist
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031
DERONEASHA SMARTT LMSW
Counselor
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Hamilton County (423) 475-3109
MS. KAREN D WILLIS
Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Hamilton County (423) 499-1031

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.

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.