Active NPI
Connie Stricklin, M.A., LPC
- Professional Counselor
- Selmer, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC00000004201
- Practice address
- 181 S Y SQ
Selmer, TN 38375-1739 - Phone
- (731) 925-2300
- NPI assigned
- Feb 19, 2019
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC00000004201 | TN | MD | Professional Counselor |
| 4201 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardin County Regional Health Center | Current | Accepting new patients | |
| Hardin County Regional Health Center | Current | 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
- 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.
-
dba Lifespan Health
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1184676157
-
dba Lifespan Health
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1013509223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.