Individual provider Active NPI

Faith Danette Hurley, M.S., TLPC

  • Mental Health Counselor
  • Gallatin, TN
National Provider Identifier
1164907473
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
TLPC4123 Issued in TN
Practice address
563 S Water Ave Ste E
Gallatin, TN 37066-6312
Phone
(615) 527-3060
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X TLPC4123 TN Primary

Addresses

Primary practice location

563 S Water Ave Ste E
Gallatin, TN 37066-6312

Mailing address

120 Cinema Dr Apt 2211
Hendersonville, TN 37075-6365
Phone (615) 579-0789

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
Master of Science

State licenses

LicenseStateTypeSpecialty
TLPC4123TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling & Mediation Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1164907473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CINEMA DR APT 2211",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756365",
            "telephone_number": "615-579-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 S WATER AVE STE E",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666312",
            "telephone_number": "615-527-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "FAITH",
        "middle_name": "DANETTE",
        "credential": "M.S., TLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "TLPC4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.