Individual provider Active NPI

Lisa Battle-Gwathney, PH.D.

  • Counseling Psychologist
  • Nashville, TN
National Provider Identifier
1093115156
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3299 Issued in TN
Practice address
4235 Hillsboro Pike Ste 300-504
Nashville, TN 37215-3344
Phone
(615) 669-5279
Fax
(615) 953-9239
NPI assigned
Aug 26, 2014
Last updated
Aug 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 486 NE
Counseling Psychologist 103TC1900X 3299 (PROVISIONAL) TN
Counseling Psychologist 103TC1900X 3299 TN Primary

Addresses

Primary practice location

4235 Hillsboro Pike Ste 300-504
Nashville, TN 37215-3344

Mailing address

4322 Harding Pike
Ste 417
Nashville, TN 37205-2664
Phone (615) 669-5279

Other practice location 1

4330 Maynardville Hwy
Maynardville, TN 37807-3618
Phone (865) 992-3849

Other identifiers 1

IdentifierTypeStateIssuer
Q034409MedicaidTN

Other names 1

  • Lisa Battle Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
486NEMDPsychologist
3299 (PROVISIONAL)TNMDCounseling Psychologist
3299TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Enhancing Wellness Counseling & Consulting, LLC Current Accepting new patients

Locations

4322 Harding Pike
Ste 417
Nashville, TN 37205
Phone (615) 669-5279

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1093115156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "STE 417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052664",
            "telephone_number": "615-669-5279",
            "fax_number": "615-953-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 HILLSBORO PIKE STE 300-504",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153344",
            "telephone_number": "615-669-5279",
            "fax_number": "615-953-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4330 Maynardville Hwy",
            "address_purpose": "LOCATION",
            "city": "Maynardville",
            "state": "TN",
            "postal_code": "378073618",
            "country_code": "US",
            "telephone_number": "865-992-3849",
            "fax_number": "865-992-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTLE-GWATHNEY",
        "first_name": "LISA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "486",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "3299 (PROVISIONAL)",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q034409",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BATTLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.