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

Individual provider Clinical Psychologist · NPI 1457545402

Jennifer Aileen Correll, BA is a Clinical Psychologist in Johnson City, Tennessee. Qualified in 2012, 14 years ago. Practices with Bh Services Southeast 1 PC, a 97-clinician group and accepts Medicare assignment. Licensed in South Carolina and Tennessee.

Years since qualifying
14
Licensed in
SC, TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

119 Boone Ridge Dr Ste 201
Johnson City, TN 37615-4998
Phone: (423) 282-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3451 (TN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1277 (SC)

Record details

NPI number1457545402
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorNo
NPI enumeratedSeptember 4, 2007
Last updated in NPPESMarch 13, 2017
Mailing address119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bh Services Southeast 1 Pc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City