KELSEY LAKE
NPI 1750227096
Counselor - Mental Health in Jackson, TN
About Kelsey Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY LAKE (NPI 1750227096) is an individual mental health provider in Jackson, Tennessee and active in the NPI registry since April 2026.
NPPES Registry Identity
Specialties & Licenses
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.
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 Kelsey Lake's NPI number?
The NPI number for Kelsey Lake is 1750227096. It was assigned to this individual provider in the NPPES registry on April 28, 2026.
Where is Kelsey Lake located?
Kelsey Lake practices at 39 Murray Guard Dr, Jackson, TN 38305. The listed phone number is (731) 736-4400.
What is Kelsey Lake'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 Kelsey Lake was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
