Organization Active NPI

Atha Therapy LLC

  • Adult Mental Health Clinic/Center
  • Nashville, TN
National Provider Identifier
1306654793
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ATHA THERAPY LLC
Practice address
1222 16TH Ave S Ste 24
Nashville, TN 37212-2926
Phone
(615) 807-0818
Fax
(615) 334-0433
NPI assigned
Dec 18, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Pamela Leigh Hicks, LMFTNPI 1205537081
Title
Owner
Phone
(615) 482-0890

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

1222 16TH Ave S Ste 24
Nashville, TN 37212-2926

Mailing address

1222 16TH Ave S Ste 24
Nashville, TN 37212-2926
Phone (615) 807-0818

National Provider Directory

National Provider Directory
Tax ID family
Atha Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1222 16th Ave S
Ste 24
Nashville, TN 37212
Phone (615) 510-7097

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.

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1306654793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 16TH AVE S STE 24",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122926",
            "telephone_number": "615-807-0818",
            "fax_number": "615-334-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 16TH AVE S STE 24",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122926",
            "telephone_number": "615-807-0818",
            "fax_number": "615-334-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-482-0890",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.