Irise Support Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

IRISE SUPPORT SERVICES

Practice address

805 S Church St Ste 15
Murfreesboro, TN 37130-4917

Phone

(615) 631-7489

Fax

(615) 494-1145

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shatonya Crayton, M.S., LPC-MHSP

Title

Co-Ceo

Phone

(615) 631-7489

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1609369776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S CHURCH ST STE 15",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304917",
            "telephone_number": "615-410-7294",
            "fax_number": "615-410-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CHURCH ST STE 15",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304917",
            "telephone_number": "615-631-7489",
            "fax_number": "615-494-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "CRAYTON",
        "authorized_official_first_name": "SHATONYA",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "615-631-7489",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.