Ayctivia Palmer, CRC

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

License

719238 Issued in TN

Practice address

5424 Bell Forge LN E # 903
Antioch, TN 37013-8300

Phone

(615) 732-8206

NPI assigned

Mar 1, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ngu Counseling Org PLLC

  • Professional Counselor
  • Antioch, TN
  • NPI 1336935790

  Rehabilitation Counselor

  NPD

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

{
    "created_epoch": "1740787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1184421703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 BELL FORGE LN E # 903",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370138300",
            "telephone_number": "615-732-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 BELL FORGE LN E # 903",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370138300",
            "telephone_number": "615-732-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "AYCTIVIA",
        "credential": "CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-01",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "TN",
            "license": "719238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerea Ann Ouma, NURSE PRACTIONER
• Ovcare Medical Transport LLC
• Patricia Oyinloye, NP
• Pain Management Group, P.C.
• Karl Shelby Palm, P.T.
• Rosemary Palmer, LPC-MHSP
• Paramount Healthcare Services,Inc
• Jayantilal Patel
• Kausha Patel
• Umang Patel

• Rehabilitation Counselor in Antioch, TN
• Providers in Antioch, TN by specialty
• Rehabilitation Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2025; 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.