Macie Irene Caudill, LPC, MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2311 Issued in TN

Practice address

1330 Neal St Ste D
Cookeville, TN 38501-4307

Phone

(931) 528-6803

Fax

(931) 528-6826

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Addiction & Mental Health Services, LLC

  dba Bradford Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cookeville, TN
  • NPI 1578611943
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861597445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NEAL ST STE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014307",
            "telephone_number": "931-528-6803",
            "fax_number": "931-528-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 NEAL ST STE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014307",
            "telephone_number": "931-528-6803",
            "fax_number": "931-528-6826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Front Ave",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531614",
            "country_code": "US",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "MACIE",
        "middle_name": "IRENE",
        "credential": "LPC, MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "0795",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000367463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Alexander Case, M.D.
• Tamra Casper, ANP-C
• Cary Hitchcock Cass, RN
• James W Cates Jr., MD
• Heather Harden Cathey, FNP-BC
• Rachel Lee Causby, BCBA, LBA
• Angela Cavanaugh Sharp, AG-ACNP
• Cavity Commando's Dentistry for Kids PLLC
• Cedars Psychiatric Associates PC
• Center of Vision Development, PLLC

• Mental Health Counselor in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.