Individual provider Active NPI

Deborah Mays Butler, PSYCHOLOGICAL EXAMIN

  • Mental Health Counselor
  • Johnson City, TN
National Provider Identifier
1508115387
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PE 869 Issued in TN
Practice address
2 Worth Cir
Suite #2
Johnson City, TN 37601-4304
Phone
(423) 283-4958
Fax
(423) 283-7135
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PE 869 TN Primary
Professional Counselor 101YP2500X 3106 TN
School Counselor 101YS0200X 541359 TN

Addresses

Primary practice location

2 Worth Cir
Suite #2
Johnson City, TN 37601-4304

Mailing address

232 Ascot Dr.
Kingsport, TN 37663-4203
Phone (423) 863-3183

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

LicenseStateTypeSpecialty
PE 869TNMDMental Health Counselor
541359TNMDSchool Counselor
3106TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1508115387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 ASCOT DR.",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376634203",
            "telephone_number": "423-863-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WORTH CIR",
            "address_2": "SUITE #2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014304",
            "telephone_number": "423-283-4958",
            "fax_number": "423-283-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DEBORAH",
        "middle_name": "MAYS",
        "credential": "PSYCHOLOGICAL EXAMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "PE 869",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3106",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TN",
            "license": "541359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.