Individual provider Active NPI

Marsha Lawanna Slatten, PHD

  • Counseling Psychologist
  • McMinnville, TN
National Provider Identifier
1639435159
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2946 Issued in TN
Practice address
120 Omni Dr
McMinnville, TN 37110-1331
Phone
(931) 473-9649
Fax
(931) 473-4223
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2946 TN Primary

Addresses

Primary practice location

120 Omni Dr
McMinnville, TN 37110-1331

Mailing address

118 N Church St
Murfreesboro, TN 37130-3636
Phone (615) 278-2241

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
I20120501000200 TN Practitioner - Clinical Psychologist 5395907752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

120 Omni Dr
McMinnville, TN 37110-1331
Phone (931) 473-9649

413 Spring St
Chattanooga, TN 37405-3848
Phone (615) 278-2241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Jul 10, 2015 Accepting new patients
Volunteer Behavioral Health Care System Past Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

120 Omni Dr
McMinnville, TN 37110
Phone (931) 473-1066

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 2

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1639435159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303636",
            "telephone_number": "615-278-2241",
            "fax_number": "615-904-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OMNI DR",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101331",
            "telephone_number": "931-473-9649",
            "fax_number": "931-473-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTEN",
        "first_name": "MARSHA",
        "middle_name": "LAWANNA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.