Active NPI
Bertha Jane Alexander
- Mental Health Counselor
- Gallatin, TN
National Provider Identifier
1710738331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 537 Blythe Ave
Gallatin, TN 37066-2223 - Phone
- (615) 327-3060
- Fax
- (615) 206-8004
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
537 Blythe Ave
Gallatin, TN 37066-2223
Mailing address
153 Lucy Dr
Mt Juliet, TN 37122-2436
Phone (615) 973-9361
Other names 1
NPPES NPI Registry- Bertha Wiltz Alexander
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2024.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1710738331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 LUCY DR",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371222436",
"telephone_number": "615-973-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 BLYTHE AVE",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370662223",
"telephone_number": "615-327-3060",
"fax_number": "615-206-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "BERTHA",
"middle_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERTHA",
"last_name": "ALEXANDER",
"middle_name": "WILTZ",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.