Individual provider Active NPI

Lydia Grace Thompson, LPC-MHSP (TEMP)

  • Mental Health Counselor
  • Franklin, TN
National Provider Identifier
1164980652
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4431 Issued in TN
Practice address
301 Mallory Station Rd Ste 110
Franklin, TN 37067-2825
Phone
(615) 988-0451
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 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 4431 TN Primary

Addresses

Primary practice location

301 Mallory Station Rd Ste 110
Franklin, TN 37067-2825

Mailing address

5908A Carl PL
Nashville, TN 37209-1945
Phone (615) 364-0434

Other practice location 1

1604 Westgate Cir
Brentwood, TN 37027-1300
Phone (615) 988-0451

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Family Counseling Current 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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616889600000",
    "number": "1164980652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908A CARL PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091945",
            "telephone_number": "615-364-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MALLORY STATION RD STE 110",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672825",
            "telephone_number": "615-988-0451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Westgate Cir",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370271300",
            "country_code": "US",
            "telephone_number": "615-988-0451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "credential": "LPC-MHSP (TEMP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.