Individual provider Active NPI

Stacie Elizabeth Yoquelet, ED.D, NCC, LPC-MHSP

  • Counseling Psychologist
  • Murfreesboro, TN
National Provider Identifier
1689250995
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1479 Issued in TN
Practice address
1015 Hanson CT Ste 103
Murfreesboro, TN 37129-2765
Phone
(615) 320-1155
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 1479 TN Primary

Addresses

Primary practice location

1015 Hanson CT Ste 103
Murfreesboro, TN 37129-2765

Mailing address

1015 Hanson CT Ste 103
Murfreesboro, TN 37129-2765
Phone (615) 320-1155

Other identifiers 1

IdentifierTypeStateIssuer
064522850OtherTNTN DRIVER'S LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syoquelet@athena-nashville.com Direct

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

LicenseStateTypeSpecialty
1479TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Consulting and Psychological Services, PLLC Multi-Specialty CurrentSince Mar 21, 2021 Accepting new patients

Locations

1015 Hanson Ct
Ste 103
Murfreesboro, TN 37129

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1689250995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 HANSON CT STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292765",
            "telephone_number": "615-320-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HANSON CT STE 103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292765",
            "telephone_number": "615-320-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOQUELET",
        "first_name": "STACIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ED.D, NCC, LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN DRIVER'S LICENSE",
            "identifier": "064522850",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syoquelet@athena-nashville.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1015 Hanson Ct Ste 103",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371292765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.