Individual provider Active NPI

Tanner Colin Yankey, LPC-MHSP

  • Mental Health Counselor
  • Jefferson City, TN
National Provider Identifier
1093302382
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4106 Issued in TN
Practice address
1526 Meadow Spring Dr
Jefferson City, TN 37760-2041
Phone
(865) 262-9098
NPI assigned
Dec 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4106 TN Primary

Addresses

Primary practice location

1526 Meadow Spring Dr
Jefferson City, TN 37760-2041

Mailing address

1526 Meadow Spring Dr
Jefferson City, TN 37760-2041
Phone (865) 262-9098

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

State licenses

LicenseStateTypeSpecialty
4106TNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1093302382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 MEADOW SPRING DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602041",
            "telephone_number": "865-262-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MEADOW SPRING DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602041",
            "telephone_number": "865-262-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKEY",
        "first_name": "TANNER",
        "middle_name": "COLIN",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4106",
            "primary": true
        }
    ],
    "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 Jun 28, 2022; 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.