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FEED YOUR SOUL LLC
NPI 1215410816
Social Worker - Clinical in Jackson, TN

Active since September 10, 2018
2917 N HIGHLAND AVE, JACKSON, TN 38305(731) 300-1010(731) 214-1816 Get Directions Write a Review

NPPES record last updated: November 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2024, Sep 10, 2018 (2 updates tracked since 2018).

About Feed Your Soul Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FEED YOUR SOUL LLC (NPI 1215410816) is a healthcare organization registered as a clinical in Jackson, Tennessee and active in the NPI registry since September 2018. The organization lists Traci Schott, Lcsw/owner, as its authorized official.

NPPES Registry Identity

NPI1215410816
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFEED YOUR SOUL LLC
Location Address2917 N HIGHLAND AVEJackson, TN 38305-3407
Mailing AddressPo Box 10233Jackson, TN 38308-0103 · (731) 400-8022 · Fax (731) 214-1816
Phone(731) 300-1010
Fax(731) 214-1816
Organization SubpartNo
Authorized OfficialTraci SchottLcsw/owner · (731) 400-8022
Enumeration DateSeptember 10, 2018
Last NPPES UpdateNovember 17, 20242 updates tracked since enumeration
NPPES CertifiedNovember 17, 2024
✔ NPI 1215410816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2917 N HIGHLAND AVE, Jackson, TN 38305
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Feed Your Soul Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Feed Your Soul LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Traci Schott, LCSW
Clinical Social Worker
NPI 1932217783
45 EXECUTIVE DR
Jackson, TN 38305
(731) 664-2083
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Feed Your Soul LLC's NPI number?

The NPI number for Feed Your Soul LLC is 1215410816. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Feed Your Soul LLC located?

Feed Your Soul LLC is located at 2917 N Highland Ave, Jackson, TN 38305. The listed phone number is (731) 300-1010.

What is Feed Your Soul LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Feed Your Soul LLC enrolled in Medicare?

Yes. Feed Your Soul LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Feed Your Soul LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Feed Your Soul LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Feed Your Soul LLC was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.