Organization Active NPI

Therapy Shoppe

  • Clinical Social Worker
  • Loudon, TN
National Provider Identifier
1215806435
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY SHOPPE
Practice address
262 Mialaquo Rd
Loudon, TN 37774-6831
Phone
(865) 409-7000
Fax
(855) 631-0798
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa L Baker, LCSWNPI 1477189975
Title
Owner
Phone
(865) 409-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

262 Mialaquo Rd
Loudon, TN 37774-6831

Mailing address

262 Mialaquo Rd
Loudon, TN 37774-6831
Phone (865) 409-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126000047 TN Part B Supplier - Clinic/Group Practice 0143712166 Practice locations: Loudon, TN

National Provider Directory

National Provider Directory

Locations

262 Mialaquo Rd
Loudon, TN 37774
Phone (865) 409-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1215806435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MIALAQUO RD",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377746831",
            "telephone_number": "865-409-7000",
            "fax_number": "855-631-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MIALAQUO RD",
            "city": "LOUDON",
            "state": "TN",
            "postal_code": "377746831",
            "telephone_number": "865-409-7000",
            "fax_number": "855-631-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-409-7000",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.