Charles Owen Hiatt, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2709 Issued in TN

Practice address

5819 Winding LN
Suite J
Hixson, TN 37343-3631

Phone

(423) 933-2575

Fax

(423) 285-6160

NPI assigned

Apr 26, 2007

Last updated

May 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• River City Counseling PC

  • Mental Health Counselor
  • Hixson, TN
  • NPI 1528329505
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1437379849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN",
            "address_2": "SUITE J",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433631",
            "telephone_number": "423-933-2575",
            "fax_number": "423-285-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN",
            "address_2": "SUITE J",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433631",
            "telephone_number": "423-933-2575",
            "fax_number": "423-285-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIATT",
        "first_name": "CHARLES",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Stephen Hendry, M.D.
• Laura Ashley Hennessey, MSN, NP-C
• Sarah J Herndon, LPC-MHSP
• Michael Herzberg, D.C.
• Chelsea Meagan Heydt, P.T.A
• Lisa Higgins, LPC
• Highlands Pelvic Health, Fitness and Physical Therapy LLC
• Mandy Hill
• Margie Renae Hill, LPN, LMT, CMTB
• Brianna Hines

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.