Individual provider Active NPI

Madison Ann Thacker

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1356082267
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2021 21St Ave S Ste 410
Nashville, TN 37212-4350
Phone
(615) 492-6700
Fax
(615) 492-6710
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2021 21St Ave S Ste 410
Nashville, TN 37212-4350

Mailing address

2121 Acklen Ave Apt 10
Nashville, TN 37212-3514
Phone (214) 773-0096

Other practice location 1

2121 Acklen Ave Apt 10
Nashville, TN 37212-3514
Phone (214) 773-0096

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Therapy Group, Inc. CurrentSince Apr 10, 2022 Accepting new patients

Locations

2021 21st Ave S
Ste 410
Nashville, TN 37212
Phone (615) 492-6700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1356082267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 ACKLEN AVE APT 10",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123514",
            "telephone_number": "214-773-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 21ST AVE S STE 410",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124350",
            "telephone_number": "615-492-6700",
            "fax_number": "615-492-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Acklen Ave Apt 10",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123514",
            "country_code": "US",
            "telephone_number": "214-773-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "MADISON",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Apr 5, 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.