Individual provider Active NPI

Charles Robin Layell, LPC/MHSPT

  • Mental Health Counselor
  • Jefferson City, TN
National Provider Identifier
1447844592
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837
Phone
(865) 999-0601
NPI assigned
Mar 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837

Mailing address

222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837
Phone (865) 999-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Solutions, LLC Mental Health CurrentSince Jan 12, 2025 Accepting new patients
New Hope Treatment Center of Tennessee LLC PastSince Mar 1, 2021 Accepting new patients

Locations

222 E Broadway Blvd
Ste 205
Jefferson City, TN 37760
Phone (865) 991-0601

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1447844592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E BROADWAY BLVD STE 205",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602837",
            "telephone_number": "865-999-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E BROADWAY BLVD STE 205",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602837",
            "telephone_number": "865-999-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYELL",
        "first_name": "CHARLES",
        "middle_name": "ROBIN",
        "credential": "LPC/MHSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.