Individual provider Active NPI

Ann Blankenship, LPC-MHSP

  • Mental Health Counselor
  • Shelbyville, TN
National Provider Identifier
1801069380
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2473 Issued in TN
Practice address
604 S Wall St
Shelbyville, TN 37160-3797
Phone
(615) 971-2131
NPI assigned
Apr 7, 2008
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 2473 TN Primary

Addresses

Primary practice location

604 S Wall St
Shelbyville, TN 37160-3797

Mailing address

604 S Wall St
Shelbyville, TN 37160-3797
Phone (615) 971-2131

Other names 1

  • Ann Wogan Former name

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
I20231222000110 TN Practitioner - Other (Non-Physician) 4688024276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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

1222 Medical Center Dr
Columbia, TN 38401
Phone (931) 388-6653

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

230 Venture Cir
Nashville, TN 37228
Phone (615) 460-4100

604 S Wall St
Shelbyville, TN 37160
Phone (931) 684-0522

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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1801069380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S WALL ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603797",
            "telephone_number": "615-971-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S WALL ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603797",
            "telephone_number": "615-971-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "ANN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "WOGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

Verify at the official NPI Registry.