Individual provider Active NPI

Julie Warren Tilley, M. S.

  • Marriage & Family Therapist
  • Cleveland, TN
National Provider Identifier
1619429750
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1518 Issued in TN
Practice address
1441 Guthrie Dr NW Ste 106
Cleveland, TN 37311-3642
Phone
(423) 910-9112
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1518 TN Primary

Addresses

Primary practice location

1441 Guthrie Dr NW Ste 106
Cleveland, TN 37311-3642

Mailing address

1441 Guthrie Dr NW Ste 106
Cleveland, TN 37311-3642
Phone (423) 910-9112

Other practice location 1

320 N Holtzclaw Ave
Chattanooga, TN 37404-2305
Phone (423) 910-9112

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1518TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Community Health, Inc. Past Accepting new patients

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1619429750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 GUTHRIE DR NW STE 106",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113642",
            "telephone_number": "423-910-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 GUTHRIE DR NW STE 106",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113642",
            "telephone_number": "423-910-9112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N Holtzclaw Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042305",
            "country_code": "US",
            "telephone_number": "423-910-9112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "JULIE",
        "middle_name": "WARREN",
        "credential": "M. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.