JERALD TISDALE LPC-MHSP
NPI 1679186944
Counselor - Professional in Nashville, TN

Q: What is Jerald Tisdale's NPI number?

The NPI number for Jerald Tisdale is 1679186944. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Jerald Tisdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jerald Tisdale was last updated on August 26, 2020. 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.

Active since August 26, 2020

1005 9TH AVE S, NASHVILLE, TN 37203(615) 636-1637 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jerald Tisdale Lpc-mhsp NPPES

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

JERALD TISDALE LPC-MHSP (NPI 1679186944) is an individual professional provider in Nashville, Tennessee, licensed in Tennessee (4947) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1679186944

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJERALD TISDALECredential: LPC-MHSP

Location Address1005 9TH AVE SNashville, TN 37203-4729

Mailing Address1005 9th Ave SNashville, TN 37203-4729

Phone(615) 636-1637

Sole ProprietorYes

Enumeration DateAugust 26, 2020

NPPES CertifiedAugust 26, 2020

✔ NPI 1679186944 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 · 4947

1005 9TH AVE S, Nashville, TN 37203

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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 Jerald Tisdale's NPI number?

The NPI number for Jerald Tisdale is 1679186944. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Jerald Tisdale located?

Jerald Tisdale practices at 1005 9th Ave S, Nashville, TN 37203. The listed phone number is (615) 636-1637.

What is Jerald Tisdale's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jerald Tisdale was last updated on August 26, 2020. 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.