Aron Wyatt Sr., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00000002703 Issued in TN

Practice address

7648 Mineral Crest Cir N
Memphis, TN 38125-4779

Phone

(901) 653-8933

Fax

(901) 624-2513

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1184064644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7648 MINERAL CREST CIR N",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254779",
            "telephone_number": "901-653-8933",
            "fax_number": "901-624-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7648 MINERAL CREST CIR N",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254779",
            "telephone_number": "901-653-8933",
            "fax_number": "901-624-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ARON",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "00000002703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WSSH Powerback Rehabilitation Services, LLC
• Bo Wu, M.D.
• Diana Wu, PHARMD
• Angela Marie Wuerger, PHARMD, MPH
• Erin Wukasch
• Morgan Brinkley Wyatt
• Olivia Brooke Wyatt, MD
• Robert J Wyatt, MD
• Jiana Wyche
• Anne Briton Craddock Wynn, M.D.

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.