Individual provider Active NPI

David Mehrle

  • Mental Health Counselor
  • Jonesborough, TN
National Provider Identifier
1013596956
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
501 N Cherokee St
Jonesborough, TN 37659-5598
Phone
(423) 262-0180
Fax
(423) 262-0181
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

501 N Cherokee St
Jonesborough, TN 37659-5598

Mailing address

501 N Cherokee St
Jonesborough, TN 37659-5598
Phone (423) 262-0180

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

Practice roles

OrganizationSpecialtyStatusNew patients
My Life Jax Therapy and Coaching Current Accepting new patients
Foundations for Life Principles CurrentSince May 16, 2021 Accepting new patients

Locations

501 N Cherokee St
Jonesborough, TN 37659
Phone (423) 262-0180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1013596956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CHEROKEE ST",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595598",
            "telephone_number": "423-262-0180",
            "fax_number": "423-262-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CHEROKEE ST",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595598",
            "telephone_number": "423-262-0180",
            "fax_number": "423-262-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRLE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.