MR. JEFFREY JAY WALLER JR. LPC-MHSP
NPI 1619628096
Counselor - Mental Health in Brentwood, TN

Active since January 17, 2022
9025 OVERLOOK BLVD STE 200, BRENTWOOD, TN 37027(864) 642-5004 Get Directions Write a Review

NPPES record last updated: January 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeffrey Jay Waller Jr. Lpc-mhsp NPPES

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

MR. JEFFREY JAY WALLER JR. LPC-MHSP (NPI 1619628096) is an individual mental health provider in Brentwood, Tennessee and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1619628096
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JEFFREY JAY WALLER JR.Credential: LPC-MHSP
Location Address9025 OVERLOOK BLVD STE 200Brentwood, TN 37027-2710
Mailing Address500 Rolling Mill Hill Rd Apt 306Nashville, TN 37210-2525 · (864) 642-5004
Sole ProprietorYes
Enumeration DateJanuary 17, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1619628096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9025 OVERLOOK BLVD STE 200, Brentwood, TN 37027

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Professional)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Mental Health)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027
Counselor (Professional)
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027

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 Jeffrey Waller's NPI number?

The NPI number for Jeffrey Waller is 1619628096. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Jeffrey Waller located?

Jeffrey Waller practices at 9025 Overlook Blvd Ste 200, Brentwood, TN 37027. The listed phone number is (864) 642-5004.

What is Jeffrey Waller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeffrey Waller was last updated on January 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.