Active NPI
Deborah Mays Butler, PSYCHOLOGICAL EXAMIN
- Mental Health Counselor
- Johnson City, TN
National Provider Identifier
1508115387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PE 869
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PE 869 | TN | MD | Mental Health Counselor |
| 541359 | TN | MD | School Counselor |
| 3106 | TN | MD | Speech-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.