Individual provider Active NPI

Suguna Mukthyala, LPCC

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1861970345
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7485 Issued in TN
Practice address
4914 Tanglewood Dr
Nashville, TN 37216-1420
Phone
(513) 546-4398
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004987 PA
Professional Counselor 101YP2500X 7485 TN Primary

Addresses

Primary practice location

4914 Tanglewood Dr
Nashville, TN 37216-1420

Mailing address

4914 Tanglewood Dr
Nashville, TN 37216-1420
Phone (513) 546-4398

Other names 1

  • Suguna Mukthyala Professional 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
PC004987PAMDProfessional Counselor
7485TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1861970345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 TANGLEWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372161420",
            "telephone_number": "513-546-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 TANGLEWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372161420",
            "telephone_number": "513-546-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKTHYALA",
        "first_name": "SUGUNA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004987",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUGUNA",
            "last_name": "MUKTHYALA",
            "credential": "PHD",
            "code": "2",
            "type": "Professional 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 May 6, 2025; 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.