Active NPI
Kristen Hoffman Pevahouse
- Mental Health Counselor
- White House, TN
National Provider Identifier
1043704356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2020 Highway 31 W
White House, TN 37188-8960 - Phone
- (615) 672-4379
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TN | Primary |
Addresses
Primary practice location
2020 Highway 31 W
White House, TN 37188-8960
Mailing address
332 Sumner Hall Dr
Gallatin, TN 37066-3129
Other practice location 1
115 S Palmers Chapel Rd
White House, TN 37188-5402
Phone (615) 672-6432
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1043704356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "332 SUMNER HALL DR",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 HIGHWAY 31 W",
"city": "WHITE HOUSE",
"state": "TN",
"postal_code": "371888960",
"telephone_number": "615-672-4379"
}
],
"practiceLocations": [
{
"address_1": "115 S Palmers Chapel Rd",
"address_purpose": "LOCATION",
"city": "White House",
"state": "TN",
"postal_code": "371885402",
"country_code": "US",
"telephone_number": "615-672-6432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEVAHOUSE",
"first_name": "KRISTEN",
"middle_name": "HOFFMAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White House, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.