CLIFFORD NATHANIEL LPC
NPI 1336290675
Counselor in Jackson, TN

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
238 SUMMAR DR, JACKSON, TN 38301(731) 935-8200 Get Directions Write a Review

NPPES record last updated: August 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clifford Nathaniel Lpc NPPES

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

CLIFFORD NATHANIEL LPC (NPI 1336290675) is an individual counselor in Jackson, Tennessee, licensed in Tennessee (2007) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1336290675
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCLIFFORD NATHANIELCredential: LPC
Location Address238 SUMMAR DRJackson, TN 38301-3906
Mailing Address1804 Highway 45 Byp, Suite 604Jackson, TN 38305-4436 · (731) 660-8755
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 15, 2007
Last NPPES UpdateAugust 5, 2009
NPI 1336290675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in TN · 2007
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

238 SUMMAR DR, Jackson, TN 38301

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Clifford Nathaniel Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315399268
PECOS Enrollment IDI20240117000692
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.

Counselor (Mental Health)
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Counselor (Professional)
238 SUMMAR DR
JACKSON, TN 38301
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Specialist
238 SUMMAR DR
JACKSON, TN 38301

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 Clifford Nathaniel's NPI number?

The NPI number for Clifford Nathaniel is 1336290675. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Clifford Nathaniel located?

Clifford Nathaniel practices at 238 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 935-8200.

What is Clifford Nathaniel's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Clifford Nathaniel enrolled in Medicare?

Yes. Clifford Nathaniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clifford Nathaniel accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Clifford Nathaniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clifford Nathaniel was last updated on August 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.