Active NPI
Stephen H Thayer, LMFT
- Marriage & Family Therapist
- Hixson, TN
National Provider Identifier
1336167410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1076
- Practice address
- 5010 Austin Rd
Hixson, TN 37343-5175 - Phone
- (423) 602-4393
- NPI assigned
- Jul 17, 2006
- Last updated
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1076 | TN | Primary |
Addresses
Primary practice location
5010 Austin Rd
Hixson, TN 37343-5175
Mailing address
1246 Northern Hills Rd
Hixson, TN 37343-3717
Phone (423) 602-4393
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1076 | Other | TN | LMFT |
| MT4610 | Other | FL | LMFT |
| FT-0010138 | Other | DE | LMFT |
| MFT001548 | Other | GA | LMFT |
Other names 1
- Steve Thayer
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219003651 | TN | Order and Referring Only - Marriage and Family Therapist | 4284084062 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1336167410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1246 NORTHERN HILLS RD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373433717",
"telephone_number": "423-602-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 AUSTIN RD",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435175",
"telephone_number": "423-602-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "STEPHEN",
"middle_name": "H",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-01-18",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "1076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "1076",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MT4610",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "FT-0010138",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MFT001548",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "THAYER",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hixson, TN
- Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #04428)
- Tennessee Oncology Pharmacy Dispensing
- Tennessee Oncology, PLLC
- Tennessee River Dental, PLLC
- Asha Jose Thaliath
- Tobie Thayer, TLPC
- The Speech Language Reading Center, PLLC
- The Weston Group of Tennessee Inc
- Ashley Thomas, PHARMD
- Carrie Christine Thomas, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.