Active NPI
Lynda Marie Loftis, LADAC
- Addiction (Substance Use Disorder) Counselor
- Cookeville, TN
National Provider Identifier
1215062229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1118
- Practice address
- 2435 Oak Park Dr
Cookeville, TN 38506 - Phone
- (931) 510-9775
- Fax
- (615) 528-9403
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1118 | TN | |
| Counselor | 101Y00000X | 1118 | TN | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Driver | 172A00000X | 079962201 | TN | |
| Meals Provider | 174200000X | |||
| Peer Specialist | 175T00000X | 0330 | TN | |
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 1118 | TN | |
| Voluntary or Charitable Agency | 251V00000X | |||
| Supports Brokerage Agency | 251X00000X | |||
| Private Vehicle | 347C00000X | 079962201 | TN | |
| Transportation Broker | 347E00000X | |||
| Prevention Professional | 405300000X | 1118 | TN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1118 | TN | Primary |
Addresses
Primary practice location
2435 Oak Park Dr
Cookeville, TN 38506
Mailing address
2435 Oak Park Dr
Cookeville, TN 38506-5038
Phone (931) 510-9775
Other practice location 1
665 S Jefferson Ave
Cookeville, TN 38501-4011
Phone (931) 528-0051
Other names 1
- Lynda Marie Atyeo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079962201 | TN | MD | Driver |
| 0330 | TN | MD | Peer Specialist |
| 1118 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1215062229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 OAK PARK DR",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385065038",
"telephone_number": "931-510-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 OAK PARK DR",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38506",
"telephone_number": "931-510-9775",
"fax_number": "615-528-9403"
}
],
"practiceLocations": [
{
"address_1": "665 S Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Cookeville",
"state": "TN",
"postal_code": "385014011",
"country_code": "US",
"telephone_number": "931-528-0051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOFTIS",
"first_name": "LYNDA",
"middle_name": "MARIE",
"credential": "LADAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1118",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "1118",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "TN",
"license": "079962201",
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TN",
"license": "0330",
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "1118",
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "TN",
"license": "079962201",
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "TN",
"license": "1118",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "1118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDA",
"last_name": "ATYEO",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.