Active NPI
Heather James
- Mental Health Counselor
- Clarksville, TN
National Provider Identifier
1962040923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4845
- Practice address
- 933 Tracy LN Ste D
Clarksville, TN 37040-6894 - Phone
- (931) 542-6637
- NPI assigned
- Dec 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4845 | TN | Primary |
Addresses
Primary practice location
933 Tracy LN Ste D
Clarksville, TN 37040-6894
Mailing address
511 Nichol Rd
Nashville, TN 37209-1829
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@imanibh.com | Direct |
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 |
|---|---|---|---|
| 4845 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Family Health Clinic, PLLC | Current | Accepting new patients | |
| Imani Behavioral Health, PLLC | Past | Accepting new patients |
Locations
933 Tracy Ln
Ste D
Clarksville, TN 37040
Phone (615) 667-6799
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Clarksville, TN
- NPI 1306496054
-
- Psychologist
- Clarksville, TN
- NPI 1992294102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1962040923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 NICHOL RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 TRACY LN STE D",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370406894",
"telephone_number": "931-542-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "4845",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@imanibh.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "933 Tracy Ln Ste D",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370406894",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.