Active NPI
Amira A Mohamad
- Mental Health Counselor
- Hermitage, TN
National Provider Identifier
1639643273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4176
- Practice address
- 1004 Hickory Hill Lane
Ste. #3
Hermitage, TN 37076 - Phone
- (615) 856-6921
- NPI assigned
- Jan 16, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4176 | TN | Primary |
Addresses
Primary practice location
1004 Hickory Hill Lane
Ste. #3
Hermitage, TN 37076
Mailing address
6471 Holt Rd
Nashville, TN 37211
Phone (615) 856-6921
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1639643273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6471 HOLT RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37211",
"telephone_number": "615-856-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 HICKORY HILL LANE",
"address_2": "STE. #3",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-856-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMAD",
"first_name": "AMIRA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.