Fireside Therapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FIRESIDE THERAPY LLC

Practice address

3610 Delverton Way
Knoxville, TN 37912-4868

Phone

(865) 255-3432

NPI assigned

Nov 9, 2021

Organization subpart

No

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

Authorized official

Name

Lydia Cole, LCSWNPI 1134504582

Title

Owner

Phone

(865) 255-3432

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lydia Joy Cole, LCSW

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1134504582
  NPD Authorized official

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1336805969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 DELVERTON WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124868",
            "telephone_number": "865-255-3432",
            "fax_number": "865-312-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 DELVERTON WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379124868",
            "telephone_number": "865-255-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESIDE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-255-3432",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lydiacole@firesidetherapyllc.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3610 Delverton Way",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379124868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Katelyn Finley Williams, PT, DPT
• Heather Lauren Finley, LAMFT
• Sabra Ledare Finley, M.S.
• Tesa Turner Finn, M.S., R.D.
• Jonathan Fiorella, PHARMD
• Firm Foundation Chiropractic
• First Care Medical Center PC
• First Choice Chiropractic Care Inc
• First Choice Chiropractic Health & Wellness
• First Choice Chiropractic PC

• Adult Mental Health Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Adult Mental Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.