Portia Carroll, TLMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2056 Issued in TN

Practice address

201 Uptown SQ
Murfreesboro, TN 37129-0573

Phone

(931) 486-8670

Fax

(615) 796-6911

NPI assigned

Dec 8, 2023

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

Other names 1

• Portia Shafer Former name

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1114794104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290573",
            "telephone_number": "931-486-8670",
            "fax_number": "615-796-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UPTOWN SQ",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290573",
            "telephone_number": "931-486-8670",
            "fax_number": "615-796-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "PORTIA",
        "credential": "TLMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORTIA",
            "last_name": "SHAFER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Isabelle Carretta
• Beth Ann Carrin, PTA
• Claudette Carrion
• Beth Anne Carroll, OTR
• Clayton Daniel Carroll, PAC
• Whitney L Carroll, SLP
• Hanna Parker Carson, OTR/L, CSRS
• Ashlyn Mackzenzie Cartee, CF-SLP
• Aijalon Carter, MSN, PMHNP-BC
• Amanda Dian Carter, MD

• Marriage & Family Therapist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.