Toy Lisa Mitchell, PH.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3442 Issued in TN

Practice address

4804 Trappers RDG
Antioch, TN 37013-2707

Phone

(502) 821-9732

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: tmitchell@direct.neighborhoodhealthtn.nextgenshare.com

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1376909341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 TRAPPERS RDG",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132707",
            "telephone_number": "502-821-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 TRAPPERS RDG",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132707",
            "telephone_number": "502-821-9732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E D St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989012300",
            "country_code": "US",
            "telephone_number": "509-853-1300 x1092",
            "fax_number": "509-966-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TOY",
        "middle_name": "LISA",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61319403",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3442",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eriny Mikhail
• Jason Devon Milam, TRANSPORTER
• Keshia Kirby Miller, RN
• Timothy H Miller, M.D.
• Jevetta Latrice Mitchell, M.S. CCC-SLP
• Christina Phaylinh Mixayphone
• Christopher James Moberg, PT
• Faridah Mohammadi, MSN, FNP-C
• Nicoletta Larissa Montgomery
• Stanley Moore, BA

• Professional Counselor in Antioch, TN
• Providers in Antioch, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.