Individual provider Active NPI

Alice Sanderlin, PHD, LPC-MHSP

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1124549076
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3488 Issued in TN
Practice address
1222 16TH Ave S Ste 24
Nashville, TN 37212-2926
Phone
(615) 268-0627
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 3488 TN Primary

Addresses

Primary practice location

1222 16TH Ave S Ste 24
Nashville, TN 37212-2926

Mailing address

1432 Plymouth Dr
Brentwood, TN 37027-6910
Phone (615) 268-0627

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

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1124549076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 PLYMOUTH DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370276910",
            "telephone_number": "615-268-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 16TH AVE S STE 24",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122926",
            "telephone_number": "615-268-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERLIN",
        "first_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 15, 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.