Individual provider Active NPI

Veronica Wade-Hampton, M.S., LPC-MHSP, NCC

  • Mental Health Counselor
  • Memphis, TN
National Provider Identifier
1902939804
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000002465 Issued in TN
Practice address
5830 Mount Moriah Rd
Suite 20
Memphis, TN 38115-1607
Phone
(901) 244-6182
Fax
(901) 244-6258
NPI assigned
Mar 13, 2007
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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 P0906033 AR
Mental Health Counselor 101YM0800X LPC0000002465 TN Primary

Addresses

Primary practice location

5830 Mount Moriah Rd
Suite 20
Memphis, TN 38115-1607

Mailing address

4265 Valley Glynn Dr
Memphis, TN 38125-3204
Phone (901) 375-4433

Other names 1

  • Ms. Veronica B Wade 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC0000002465TNMDMental Health Counselor
P0906033ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wade-Hampton Counseling & Consulting, LLC Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Inspired Therapeutic Services Professional Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: veronicawadehampton@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1902939804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 VALLEY GLYNN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381253204",
            "telephone_number": "901-375-4433",
            "fax_number": "901-375-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 20",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-244-6182",
            "fax_number": "901-244-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE-HAMPTON",
        "first_name": "VERONICA",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC-MHSP, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0906033",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000002465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "WADE",
            "middle_name": "B",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.