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

Matthew Jae Donnelly

Individual provider Mental Health Counselor · NPI 1972354199

Matthew Jae Donnelly is a Mental Health Counselor in Jackson, Tennessee. Licensed in Tennessee. Registered with an NPI since 2024.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

384 Carriage House Dr
Jackson, TN 38305-2268
Phone: (731) 868-7297
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 2459 (TN)

Record details

NPI number1972354199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address2442 Mooresville Pike, Culleoka, TN 38451-2159

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