Individual provider Active NPI

Connie Stricklin, M.A., LPC

  • Professional Counselor
  • Selmer, TN
National Provider Identifier
1467918193
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC00000004201 Issued in TN
Practice address
181 S Y SQ
Selmer, TN 38375-1739
Phone
(731) 925-2300
NPI assigned
Feb 19, 2019
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC00000004201 TN Primary

Addresses

Primary practice location

181 S Y SQ
Selmer, TN 38375-1739

Mailing address

PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

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
I20231228001185 TN Practitioner - Mental Health Counselor 1355791690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 E End Dr
Savannah, TN 38372-1712
Phone (731) 925-2300

175 Enoch Blvd
Savannah, TN 38372-2240
Phone (731) 925-2300

181 S Y SQ
Selmer, TN 38375-1739
Phone (731) 925-2300

255 Wayne Rd
Savannah, TN 38372-1947
Phone (731) 925-2300

765 Florence Rd
Suite a
Savannah, TN 38372-5219
Phone (731) 925-2300

PO Box
Savannah, TN 38372

PO Box
Suite 655
Savannah, TN 38372-0655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC00000004201TNMDProfessional Counselor
4201TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin County Regional Health Center CurrentSince Nov 14, 2023 Accepting new patients
Hardin County Regional Health Center CurrentSince Nov 14, 2023 Accepting new patients

Locations

765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300

765 Florence Rd
Ste A
Savannah, TN 38372

181 S Y Sq
Selmer, TN 38375
Phone (731) 434-0200

Interoperability endpoints

  • Direct secure messaging: connie.stricklin.p1@direct.lifespanhealth.nextgenshare.com

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, 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": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1467918193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S Y SQ",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751739",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLIN",
        "first_name": "CONNIE",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC00000004201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selmer, TN

Sources for this page

Verify at the official NPI Registry.