Organization Active NPI

Overcome Adversity, PLLC

  • Mental Health Counselor
  • Jefferson City, TN
National Provider Identifier
1043989569
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OVERCOME ADVERSITY, PLLC
Practice address
1515 Meadow Spring Dr
Jefferson City, TN 37760-2047
Phone
(865) 776-6761
NPI assigned
Sep 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Authorized official

Name
Alisha L Cobb, LPC-S/MHSPNPI 1528105905
Title
Clinical Director/Owner
Phone
(865) 776-6761

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1515 Meadow Spring Dr
Jefferson City, TN 37760-2047

Mailing address

536 Catlett Dr
Kodak, TN 37764-2265
Phone (865) 776-6761

Other practice location 1

222 E Broadway Blvd Ste 203
Jefferson City, TN 37760-2837
Phone (865) 776-6761

Other practice location 2

1806 Marble Ave
Jefferson City, TN 37760-2010
Phone (865) 776-6761

National Provider Directory

National Provider Directory

Locations

222 E Broadway Blvd
Ste 203
Jefferson Cty, TN 37760
Phone (865) 471-2947

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": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1043989569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 CATLETT DR",
            "city": "KODAK",
            "state": "TN",
            "postal_code": "377642265",
            "telephone_number": "865-776-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MEADOW SPRING DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602047",
            "telephone_number": "865-776-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Broadway Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602837",
            "country_code": "US",
            "telephone_number": "865-776-6761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Marble Ave",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602010",
            "country_code": "US",
            "telephone_number": "865-776-6761",
            "fax_number": "865-375-7025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OVERCOME ADVERSITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "865-776-6761",
        "authorized_official_credential": "LPC-S/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.