Active NPI
Sherlean D Lybolt, LPE
- Mental Health Counselor
- Nashville, TN
National Provider Identifier
1891742680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PE11728
- Practice address
- 310 25TH Ave N Ste 204
Nashville, TN 37203-2492 - Phone
- (615) 385-4090
- Fax
- (615) 385-0138
- NPI assigned
- May 27, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11728 | TN | |
| Mental Health Counselor | 101YM0800X | PE11728 | TN | Primary |
Addresses
Primary practice location
310 25TH Ave N Ste 204
Nashville, TN 37203-2492
Mailing address
310 25TH Ave N Ste 204
Nashville, TN 37203-2492
Phone (615) 385-4090
Other practice location 1
2021 Church St
Suite 800
Nashville, TN 37203-2021
Phone (615) 385-4090
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
| License | State | Type | Specialty |
|---|---|---|---|
| PE11728 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evelyn M Frye Clinical Associates, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1891742680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 25TH AVE N STE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032492",
"telephone_number": "615-385-4090",
"fax_number": "615-385-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 25TH AVE N STE 204",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032492",
"telephone_number": "615-385-4090",
"fax_number": "615-385-0138"
}
],
"practiceLocations": [
{
"address_1": "2021 Church St",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372032021",
"country_code": "US",
"telephone_number": "615-385-4090",
"fax_number": "615-385-0138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYBOLT",
"first_name": "SHERLEAN",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "11728",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "PE11728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.