Individual provider Active NPI

Lucinda Victoria Stiles, LMFT

  • Marriage & Family Therapist
  • Hohenwald, TN
National Provider Identifier
1699286963
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT1891 Issued in TN
Practice address
912 Summertown Hwy
Hohenwald, TN 38462-5703
Phone
(931) 796-5916
Fax
(931) 796-1288
NPI assigned
Oct 13, 2017
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 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 LMT1891 TN Primary

Addresses

Primary practice location

912 Summertown Hwy
Hohenwald, TN 38462-5703

Mailing address

912 Summertown Hwy
Hohenwald, TN 38462-5703
Phone (931) 796-5916

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
I20240117001275 TN Practitioner - Other (Non-Physician) 0446602205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

912 Summertown Hwy
Hohenwald, TN 38462-5703
Phone (888) 291-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891TNMDBehavioral Analyst
LMT1891TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

912 Summertown Hwy
Hohenwald, TN 38462
Phone (931) 292-0868

912 Summertown Hwy
Ste 20
Hohenwald, TN 38462

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1699286963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SUMMERTOWN HWY",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384625703",
            "telephone_number": "931-796-5916",
            "fax_number": "931-796-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SUMMERTOWN HWY",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384625703",
            "telephone_number": "931-796-5916",
            "fax_number": "931-796-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "LUCINDA",
        "middle_name": "VICTORIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT1891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hohenwald, TN

Sources for this page

Verify at the official NPI Registry.