Kelly Hodge, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3916 Issued in TN

Practice address

441 E Broad St Ste D
Cookeville, TN 38501-3390

Phone

(931) 265-5706

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573862400000",
    "number": "1356770879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E BROAD ST STE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013390",
            "telephone_number": "931-265-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E BROAD ST STE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013390",
            "telephone_number": "931-265-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "KELLY",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2019-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q052793",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Hitchcock
• Sheldon Hitchcock, PHARMD
• Michelle Hoback, PT
• Gloria Hoch-Prater, RBT
• Cynthia Hodge
• Adrienne Lynn Hodum, LMSW
• Amber Beth Hoffert, P.A.
• Jazelyn Hogg
• Gonzalo Holguin, CPHT
• Jennifer Holitzke, BT

• Mental Health Counselor in Cookeville, TN
• Providers in Cookeville, 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 Nov 16, 2019; 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.