Organization Active NPI

Dave Whipple Counseling, PLLC

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1770075715
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6631 Issued in TN
Legal business name
DAVE WHIPPLE COUNSELING, PLLC
Doing business as
Clarksville Counseling Center, PLLC
Practice address
1820 Memorial Dr Ste 203
Clarksville, TN 37043-4693
Phone
(859) 699-1963
Fax
(931) 443-0125
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Mr. David Clark Whipple, LCSWNPI 1447306485
Title
Owner/Therapist
Phone
(859) 699-1963

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6631 TN Primary

Addresses

Primary practice location

1820 Memorial Dr Ste 203
Clarksville, TN 37043-4693

Mailing address

1820 Memorial Dr Ste 203
Clarksville, TN 37043-4693
Phone (859) 699-1963

Other names 1

  • Clarksville Counseling Center, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

1820 Memorial Dr
Ste 203
Clarksville, TN 37043
Phone (931) 933-7200

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": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1770075715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "859-699-1963",
            "fax_number": "931-443-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MEMORIAL DR STE 203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434693",
            "telephone_number": "859-699-1963",
            "fax_number": "931-443-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE WHIPPLE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "859-699-1963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "6631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarksville Counseling Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2018; 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.