Active NPI
Tempia Waddell, LPC-MHSP
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1497312391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4168
- Practice address
- 5865 Ridgeway Center Pkwy
Memphis, TN 38120-4032 - Phone
- (901) 210-1010
- NPI assigned
- May 26, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4168 | TN | |
| Mental Health Counselor | 101YM0800X | 4168 | TN | Primary |
Addresses
Primary practice location
5865 Ridgeway Center Pkwy
Memphis, TN 38120-4032
Mailing address
5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014
Phone (901) 210-1010
Other names 1
- Tempia Cole
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4168 | TN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Resiliency Center of Memphis | Mental Health | Current | Accepting new patients |
Locations
5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120
Phone (901) 602-2935
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Memphis, TN
- NPI 1639721533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1497312391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204014",
"telephone_number": "901-210-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5865 RIDGEWAY CENTER PKWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204032",
"telephone_number": "901-210-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "TEMPIA",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-26",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "4168",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TEMPIA",
"last_name": "COLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Memphis, TN
- Siushan Tang Vuong, PA
- Neha Arvind Vyas, R.PH
- W.W. Taylor, Jr, M.D., P.C.
- Dawn Medley Waddell, PHARMD
- Patience Jarrett Waddell, DNP
- Mardrey Alicia Wade Kiles, LPC
- Wade-Hampton Counseling & Consulting, LLC
- Veronica Wade-Hampton, M.S., LPC-MHSP, NCC
- Deanie Eilee Wade-Smith, APN, NP-C
- Hailey McKinney Wade
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.