Individual provider Active NPI

Corey Dwight Driggs, BS; MA PSYCHOLOGY

  • Mental Health Counselor
  • Murfreesboro, TN
National Provider Identifier
1780251173
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
805 S Church St Ste 20
Murfreesboro, TN 37130-5297
Phone
(931) 486-8670
Fax
(615) 809-2090
NPI assigned
Jun 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

805 S Church St Ste 20
Murfreesboro, TN 37130-5297

Mailing address

805 S Church St Ste 20
Murfreesboro, TN 37130-5297
Phone (931) 486-8670

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Depriest Center Mental Health PastSince Apr 24, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1780251173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S CHURCH ST STE 20",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305297",
            "telephone_number": "931-486-8670",
            "fax_number": "615-809-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S CHURCH ST STE 20",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371305297",
            "telephone_number": "931-486-8670",
            "fax_number": "615-809-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGS",
        "first_name": "COREY",
        "middle_name": "DWIGHT",
        "credential": "BS; MA PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "805 S Church St Ste 20",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371305297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.