Active NPI
Therapy Shoppe
- Clinical Social Worker
- Loudon, TN
National Provider Identifier
1215806435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa L Baker, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251126000047 | TN | Part B Supplier - Clinic/Group Practice | 0143712166 | Practice locations: Loudon, TN |
National Provider Directory
National Provider DirectoryLocations
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.