Individual provider Active NPI

Tiara Lashawntae Meacham

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1417291618
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone
(901) 842-3166
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

5366 Mendenhall Mall
Memphis, TN 38115-4505

Mailing address

5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone (901) 842-3166

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
I20250220001473 TN Practitioner - Mental Health Counselor 6709306772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300

5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone (901) 271-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Dec 9, 2024 Accepting new patients
Christ Community Health Services Inc CurrentSince Dec 9, 2024 Accepting new patients

Locations

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

Organizations & group practices 2

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": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1417291618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 MENDENHALL MALL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154505",
            "telephone_number": "901-842-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 MENDENHALL MALL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154505",
            "telephone_number": "901-842-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "TIARA",
        "middle_name": "LASHAWNTAE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.