Individual provider Active NPI

Tony Hatley, LPC/MHSP

  • Professional Counselor
  • Jackson, TN
National Provider Identifier
1003299694
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3398 Issued in TN
Practice address
26 Lamar Cir
Jackson, TN 38305-4121
Phone
(731) 220-2919
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3398 TN Primary

Addresses

Primary practice location

26 Lamar Cir
Jackson, TN 38305-4121

Mailing address

173 Harbor Cir
New Johnsonville, TN 37134-9637
Phone (731) 220-2919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3398TNMDPhysician Assistant

Networks

  • TN PPO C-SNP
  • TN PPO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1003299694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HARBOR CIR",
            "city": "NEW JOHNSONVILLE",
            "state": "TN",
            "postal_code": "371349637",
            "telephone_number": "731-220-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 LAMAR CIR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383054121",
            "telephone_number": "731-220-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATLEY",
        "first_name": "TONY",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.