Individual provider Active NPI

Tonya Lynn Herrell, LPE

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1861532202
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPE0000011663 Issued in TN
Practice address
1201 Villa PL
Suite 207
Nashville, TN 37212-3014
Phone
(615) 321-4477
Fax
(615) 297-6078
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LPE0000011663 TN Primary

Addresses

Primary practice location

1201 Villa PL
Suite 207
Nashville, TN 37212-3014

Mailing address

214 Rolling Acres Dr
White House, TN 37188-8921
Phone (615) 672-2631

Other names 1

  • Miss Tonya Lynn Sisco Former name

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

State licenses

LicenseStateTypeSpecialty
LPE0000011663TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861532202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ROLLING ACRES DR",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371888921",
            "telephone_number": "615-672-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 VILLA PL",
            "address_2": "SUITE 207",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123014",
            "telephone_number": "615-321-4477",
            "fax_number": "615-297-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRELL",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPE0000011663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "SISCO",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "MA, LPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.