1053280875 NPI number — FOSTERS AFTERHOURS PRIMARY CARE AND COUNSELING

Table of content: JILL JAMIE MASON LCSW (NPI 1144399148)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053280875 NPI number — FOSTERS AFTERHOURS PRIMARY CARE AND COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FOSTERS AFTERHOURS PRIMARY CARE AND COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053280875
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4604 LANCASTER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SMYRNA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37167-3447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-953-0323
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4604 LANCASTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SMYRNA
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37167-3447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-953-0323
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2025

Additional Information

Authorized Official

Authorized Official Last Name:
FOSTER-GEETER
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
Authorized Official Title or Position:
MBRR
Authorized Official Telephone Number:
615-953-0323

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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