Individual provider Active NPI

Tamara Leininger, LPC-MHSP-S

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1508052564
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4080 Issued in TN
Practice address
2031 Wilma Rudolph Blvd Unit 30143
Clarksville, TN 37040-0105
Phone
(931) 358-8114
NPI assigned
Sep 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 104281 KY
Mental Health Counselor 101YM0800X 4080 TN Primary

Addresses

Primary practice location

2031 Wilma Rudolph Blvd Unit 30143
Clarksville, TN 37040-0105

Mailing address

2031 Wilma Rudolph Blvd Unit 30143
Clarksville, TN 37040-0105
Phone (931) 358-8114

Other names 1

  • Tamara Eade Former name

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
I20240119000820 TN Practitioner - Mental Health Counselor 1254783863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104281KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unbound Living Counseling LLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

2031 Wilma Rudolph Blvd
Unit 30143
Clarksville, TN 37040
Phone (931) 358-8114

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.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1508052564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 WILMA RUDOLPH BLVD UNIT 30143",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370400105",
            "telephone_number": "931-358-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 WILMA RUDOLPH BLVD UNIT 30143",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370400105",
            "telephone_number": "931-358-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEININGER",
        "first_name": "TAMARA",
        "credential": "LPC-MHSP-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "104281",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "EADE",
            "credential": "LPCC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.