Diana Dockery

Individual provider Active NPI Mental Health Counselor · Sparta, TN

NPI 1336075167 · NPPES record last updated Jun 19, 2026

Key facts

NPI
1336075167
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone
(931) 372-7117
NPI assigned
Jun 19, 2026
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Life Reimagined LLC Past
since Oct 8, 2023
Accepting new patients
Infinite Possibilities Counseling Past
since Nov 12, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

3380 Walnut Grove Rd
Sparta, TN 38583-5365

Mailing address

3380 Walnut Grove Rd
Sparta, TN 38583-5365
Phone (931) 372-7117

Other providers in Sparta, TN

All providers in Sparta, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.