Active NPI
Michelle Camile Stevens, PH.D., LPC- MHSP
- Mental Health Counselor
- Smyrna, TN
National Provider Identifier
1104337310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4047
- Practice address
- 431 Nissan Dr Ste 200
Smyrna, TN 37167-4365 - Phone
- (615) 956-8347
- NPI assigned
- Oct 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 4047 | TN | Primary |
Addresses
Primary practice location
431 Nissan Dr Ste 200
Smyrna, TN 37167-4365
Mailing address
3401 Emery CT
Murfreesboro, TN 37130-6700
Phone (615) 956-8347
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4047 | TN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507939200000",
"number": "1104337310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 EMERY CT",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371306700",
"telephone_number": "615-956-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 NISSAN DR STE 200",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371674365",
"telephone_number": "615-956-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MICHELLE",
"middle_name": "CAMILE",
"name_prefix": "Dr.",
"credential": "PH.D., LPC- MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-14",
"last_updated": "2017-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.