Tierra Thaxton, BA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

925 E Main St
Henderson, TN 38340-1709

Phone

(731) 989-3401

Fax

(731) 989-3838

NPI assigned

Oct 19, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Mental Health Centers & Clinics of Tennessee

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1174712640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401709",
            "telephone_number": "731-989-3401",
            "fax_number": "731-989-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E MAIN ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383401709",
            "telephone_number": "731-989-3401",
            "fax_number": "731-989-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAXTON",
        "first_name": "TIERRA",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deryl Lynn Stewart, PHARM.D.
• Stuart D Rogers, OD
• Scott Summars, NP-C
• Andrea Talbott, CPHT
• Haley Nicole Taylor-Phillips
• The Grove Primary Care Clinic LLC
• Trinity Clinic
• Nicole H Umstead, APRN
• Vitality Mental Health and Wellness PLLC
• Alexander Pearce Walker, ANP

• Counselor in Henderson, TN
• Providers in Henderson, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.