Individual provider Active NPI

Whitney Wyatt, LPC

  • Clinical Psychologist
  • Murfreesboro, TN
National Provider Identifier
1295321172
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4032 Issued in TN
Practice address
1639 Medical Center Pkwy Ste 202
Murfreesboro, TN 37129-2573
Phone
(615) 320-1155
Fax
(615) 320-1177
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4852 TN
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC009250 GA
Clinical Psychologist 103TC0700X 4032 TN Primary

Addresses

Primary practice location

1639 Medical Center Pkwy Ste 202
Murfreesboro, TN 37129-2573

Mailing address

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 320-1155

Other practice location 1

220 Athens Way Ste 104
Nashville, TN 37228-1351
Phone (615) 714-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120001379 TN Practitioner - Mental Health Counselor 9234586249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC009250GAMDProfessional Counselor
4852TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Watters Counseling & Consulting, LLC Professional PastSince Aug 28, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1295321172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ATHENS WAY STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281351",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 MEDICAL CENTER PKWY STE 202",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292573",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Athens Way Ste 104",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281351",
            "country_code": "US",
            "telephone_number": "615-714-8761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "WHITNEY",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4852",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009250",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "4032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.