Michelle Fallat

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101YM0800 Issued in TN

Practice address

106 James Dr
Clarksville, TN 37042-5410

Phone

(931) 624-2251

NPI assigned

Mar 27, 2015

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1083008015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAMES DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425410",
            "telephone_number": "931-624-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAMES DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370425410",
            "telephone_number": "931-624-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAT",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "101YM0800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Eymard
• Fabulous Community Services, Inc.
• Alexis Ann Faedtke
• Thomas Faerber, D.M.D.
• Laura Fair, MMFT
• Elizabeth A Fallen, LCSW
• Family Eye Care of Clarksville PLLC
• Family Guidance Training Institute Incorporate
• Family Wellness Center of Clarksville, PC
• Belinda C Fanning, LMFT

• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.