Amy Niccole Madden-Ray, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LSW0000004401 Issued in TN

Practice address

2080 Woodruff Ave
Greenbrier, TN 37073-4671

Phone

(615) 612-9649

NPI assigned

Mar 1, 2007

Last updated

Jul 13, 2021By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Guided Path Counseling, PLLC

  • Mental Health Counselor
  • Nashville, TN
  • NPI 1205409224
  Medicare reassignment NPD
• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1326176355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WOODRUFF AVE",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370734671",
            "telephone_number": "615-859-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WOODRUFF AVE",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370734671",
            "telephone_number": "615-612-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN-RAY",
        "first_name": "AMY",
        "middle_name": "NICCOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LSW0000004401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa S Jones, RN
• Dana King, APRN
• Juliet Lavie, APRN, PMHNP-BC
• Riley Lawyer, DPT
• William Michael Lewis, MD
• Charles Andrew Mullins, DO
• Jo Susan Offutt-Blackaby, MSN, PMHNP
• Cinthya C Ortiz Morales, FNP-C
• Lauren Pannell, DPT
• Patricia M Powers, FNP

• Mental Health Counselor in Greenbrier, TN
• Providers in Greenbrier, 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 Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.