Active NPI
Divergent Roads Counseling
- Clinical Social Worker
- Cleveland, TN
National Provider Identifier
1801568761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DIVERGENT ROADS COUNSELING
- Practice address
- 3505 Adkisson Dr NW Ste 205
Cleveland, TN 37312-6805 - Phone
- (423) 368-5893
- NPI assigned
- Sep 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel La Rea Hatchett, LCSW
- Title
- Owner
- Phone
- (423) 368-5893
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3505 Adkisson Dr NW Ste 205
Cleveland, TN 37312-6805
Mailing address
417 County Road 709
Riceville, TN 37370-5331
Phone (423) 368-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3505 Adkisson Dr NW
Ste 205
Cleveland, TN 37312
Phone (423) 368-5893
3575 Adkisson Dr NW
Ste 1030
Cleveland, TN 37312
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cleveland, TN
- NPI 1740739648
-
- Social Worker
- Chattanooga, TN
- NPI 1548819279
-
- School Social Worker
- Cleveland, TN
- NPI 1457838799
-
- Clinical Social Worker
- Cleveland, TN
- NPI 1063111342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1801568761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 COUNTY ROAD 709",
"city": "RICEVILLE",
"state": "TN",
"postal_code": "373705331",
"telephone_number": "423-368-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ADKISSON DR NW STE 205",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126805",
"telephone_number": "423-368-5893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERGENT ROADS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A",
"authorized_official_last_name": "HATCHETT",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "LA REA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-368-5893",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.