Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Lee Maynard, TEMP-LPC/MHSP

Individual provider Mental Health Counselor · NPI 1164395497

Jason Lee Maynard, TEMP-LPC/MHSP is a Mental Health Counselor in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2025

Practice location Address checks out

441 E Broad St Ste G
Cookeville, TN 38501-3390
Phone: (931) 952-6869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7880 (TN)

Record details

NPI number1164395497
Entity typeIndividual (Type 1)
GenderMale
Credentials TEMP-LPC/MHSP
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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