Organization Active NPI

Carlyle Counseling Services, PLLC

  • Professional Counselor
  • Clarksville, TN
National Provider Identifier
1699274522
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3352 Issued in TN
Legal business name
CARLYLE COUNSELING SERVICES, PLLC
Practice address
279 Clear Sky CT Ste D
Clarksville, TN 37043-5946
Phone
(931) 237-4341
Fax
(931) 451-1347
NPI assigned
Feb 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Mrs. Willette P Carlyle, LPC-MHSPNPI 1962880112
Title
Licensed Prof Counselor/Owner
Phone
(931) 237-4341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3352 TN Primary

Addresses

Primary practice location

279 Clear Sky CT Ste D
Clarksville, TN 37043-5946

Mailing address

751 McClain Dr
Clarksville, TN 37040
Phone (931) 237-4341

Other identifiers 1

IdentifierTypeStateIssuer
Q032951MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@carlyleLPC.com Direct

National Provider Directory

National Provider Directory

Locations

279 Clear Sky Ct
Ste D
Clarksville, TN 37043
Phone (931) 237-4341

127 9th St
Clarksville, TN 37040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1699274522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MCCLAIN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-237-4341",
            "fax_number": "931-451-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CLEAR SKY CT STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435946",
            "telephone_number": "931-237-4341",
            "fax_number": "931-451-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "WILLETTE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LICENSED PROF COUNSELOR/OWNER",
        "authorized_official_telephone_number": "931-237-4341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032951",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@carlyleLPC.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "279 Clear Sky Ct Ste D",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.