Active NPI
Counseling and Forensic Services
- Adolescent and Children Mental Health Clinic/Center
- Lenoir City, TN
National Provider Identifier
1235773748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- COUNSELING AND FORENSIC SERVICES
- Practice address
- 481 Leeper Pkwy Ste 6&7
Lenoir City, TN 37772-6174 - Phone
- (865) 816-3166
- Fax
- (865) 225-9687
- NPI assigned
- Oct 29, 2019
- Last updated
- Aug 29, 2020
- 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
- Mary Helen Lyle-Joiner, LPC-MHSP
- Title
- Owener/Therapist
- Phone
- (865) 816-3166
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 |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | NU | Primary |
Addresses
Primary practice location
481 Leeper Pkwy Ste 6&7
Lenoir City, TN 37772-6174
Mailing address
PO Box 25
Lenoir City, TN 37771-0025
Phone (865) 816-3166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QOO3573 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
481 Leeper Pkwy
Ste 67
Lenoir City, TN 37772
Phone (865) 816-3166
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Lenoir City, TN
- NPI 1710243308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598659200000",
"number": "1235773748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377710025",
"telephone_number": "865-816-3166",
"fax_number": "865-225-9687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 LEEPER PKWY STE 6&7",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726174",
"telephone_number": "865-816-3166",
"fax_number": "865-225-9687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND FORENSIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-29",
"last_updated": "2020-08-29",
"certification_date": "2020-08-29",
"status": "A",
"authorized_official_last_name": "LYLE-JOINER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "HELEN",
"authorized_official_title_or_position": "OWENER/THERAPIST",
"authorized_official_telephone_number": "865-816-3166",
"authorized_official_credential": "LPC-MHSP"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QOO3573",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.