Michele Mathes, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0000002517 Issued in TN

Practice address

1511 N Jackson St
Tullahoma, TN 37388-2343

Phone

(931) 455-6213

Fax

(931) 455-6225

NPI assigned

Feb 20, 2008

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

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1891963138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371110640",
            "telephone_number": "931-815-1212",
            "fax_number": "931-815-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882343",
            "telephone_number": "931-455-6213",
            "fax_number": "931-455-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHES",
        "first_name": "MICHELE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6857",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000002517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517981",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762549900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvel Clinic P.C.
• Jeffrey Blaine Marvel, M.D.
• Patty M Marvel, M.D.
• Mat Centers of Tennessee LLC
• Catherine Renee Materi, MA LSPE
• David C Mathis, EDD
• Stephanie Matthews
• Maxmed Care Services
• Kathleen A Mayor-Lynn, MD
• James Shawn McBride, O.D.

• Mental Health Counselor in Tullahoma, TN
• Providers in Tullahoma, 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 Nov 2, 2010; 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.