Tiya Nachelle Douglas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

25 Jefferson St Ste T1
Clarksville, TN 37040-4901

Phone

(615) 348-5906

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1255204665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST STE T1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404901",
            "telephone_number": "615-348-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST STE T1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370404901",
            "telephone_number": "615-348-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "TIYA",
        "middle_name": "NACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen R Dortch-Farmer, PHYSICIAN ASSISTANT
• Julia Doss, APRN
• Shannon R. Doss, MSW
• Crystal Sue Dougherty, RN
• Kayla Douglas
• Melissa Dowdy
• Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
• Dr. Dave L. Hippensteel DMD, PC
• Dr. David Mark Allen PC
• Dr. E. McPherson Botts, Psy.D.

• Mental Health Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.