Individual provider Active NPI

Abby Dickson

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1376294777
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
317 18TH Ave N Ste 200
Nashville, TN 37203-2253
Phone
(615) 292-3661
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 NU Primary

Addresses

Primary practice location

317 18TH Ave N Ste 200
Nashville, TN 37203-2253

Mailing address

317 18TH Ave N Ste 200
Nashville, TN 37203-2253
Phone (615) 292-3661

Other identifiers 1

IdentifierTypeStateIssuer
8492888OtherALDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ClinicSource Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419000485 TN Practitioner - Mental Health Counselor 2668811951 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Solutions, LLC Mental Health CurrentSince Dec 13, 2024 Accepting new patients
Advanced Therapy Solutions Mental Health CurrentSince Mar 18, 2024 Accepting new patients
Advanced Therapy Solutions PastSince Dec 13, 2024 Accepting new patients

Locations

851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168

3000 Business Park Cir
Ste 900
Goodlettsville, TN 37072
Phone (615) 292-3661

317 18th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 292-3661

877 Seven Oaks Blvd
Ste 500
Smyrna, TN 37167
Phone (615) 292-3661

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1376294777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 18TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032253",
            "telephone_number": "615-292-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 18TH AVE N STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032253",
            "telephone_number": "615-292-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "8492888",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ClinicSource",
            "affiliation": "N",
            "endpointDescription": "Cloud based EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "317 18th Ave N Ste 200",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372032253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.