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Deactivated NPI 1982617023 Deactivated / Inactive NPI Female Practitioner

Wylene Morgan Jacobs , M ED LSPE

Psychologist • Greenville, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wylene Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2006
NPI Deactivation Date April 20, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Wylene Jacobs, M ED LSPE was a registered Psychologist practicing in Greenville, TN. Throughout an active medical career spanning 15 years, Wylene Jacobs provided care at the practice location at 401 HOLSTON DRIVE until profile deactivation on 2021-04-20.

Practice Location & Contact Primary Location

Practice Address

401 Holston Drive
Nolachuckey Mental Health Center Frontier Health

Greenville, TN 37743

Telephone 4236391104
Fax 4236368365
Associated Practice Facility / Clinic
🏢 Frontier Health Facility NPI 1760547004

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Greenville, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Greenville, TN (554 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TN LSPE1563

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003829144

LPCMHSPLICENSEDPR

Cindy Tvardy , MED, LMFT

Marriage & Family Therapist

NPI 1013019397

Master of Education, Licensed Marriage and Family Therapist

Courtney Holtsclaw , BS

Case Manager/Care Coordinator

NPI 1013090323

Bachelor of Science

NPI 1053538983

Master of Arts

Karen Lane , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063544666

Advanced Practice Registered Nurse

Rebecca Moore , BA

Case Manager/Care Coordinator

NPI 1104909415

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 20, 2021

Record deactivated on April 20, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 401 HOLSTON DRIVE, NOLACHUCKEY MENTAL HEALTH CENTER FRONTIER HEALTH, GREENVILLE, TN 37743 (Tel: 4236391104)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9054, GRAY, TN 376159054 (Tel: 4234673600)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WYLENE JACOBS, M ED LSPE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LSPE1563 in TN)

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Initial NPI Registration & Enumeration August 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982617023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Deactivation Date: April 20, 2021

Mailing Address

Po Box 9054

Gray, TN 376159054

Phone: 4234673600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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