Organization Active NPI

Carolyn a Hebel Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1013606847
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CAROLYN A HEBEL PSYCHIATRY LLC
Practice address
1324 Trotwood Ave Ste 12
Columbia, TN 38401-4750
Phone
(931) 797-5273
NPI assigned
May 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Carolyn Hebel, NPNPI 1740567403
Title
NP/Owner
Phone
(931) 797-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1324 Trotwood Ave Ste 12
Columbia, TN 38401-4750

Mailing address

105 Cayce Valley Dr
Columbia, TN 38401-5101
Phone (931) 797-5273

Other identifiers 2

IdentifierTypeStateIssuer
APN0000016271OtherTNSTATE OF TN
RN0000178655OtherTNSTATE OF TN

Other names 1

  • CAROLYN A HEBEL NP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727001490 TN Part B Supplier - Clinic/Group Practice 3779944459 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, TN

National Provider Directory

National Provider Directory

Locations

1324 Trotwood Ave
Ste 12
Columbia, TN 38401
Phone (931) 797-5273

1324 Trotwood Ave
#12
Columbia, TN 38401
Phone (931) 350-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1013606847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CAYCE VALLEY DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015101",
            "telephone_number": "931-797-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 TROTWOOD AVE STE 12",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014750",
            "telephone_number": "931-797-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN A HEBEL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A",
        "authorized_official_last_name": "HEBEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "931-797-5273",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "APN0000016271",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN",
            "identifier": "RN0000178655",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLYN A HEBEL NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.