Active NPI
Patricia Carr Pickett, LPC/MHSP
- Professional Counselor
- Bartlett, TN
National Provider Identifier
1720787872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1760
- Practice address
- 6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895 - Phone
- (901) 438-7798
- NPI assigned
- Feb 27, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1760 | TN | Primary |
Addresses
Primary practice location
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Mailing address
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone (901) 387-0026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clover Counseling Services Inc | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Bartlett, TN
- NPI 1265042253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1720787872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6551 STAGE OAKS DR STE 4",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381343895",
"telephone_number": "901-387-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6551 STAGE OAKS DR STE 4",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381343895",
"telephone_number": "901-438-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKETT",
"first_name": "PATRICIA",
"middle_name": "CARR",
"credential": "LPC/MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.