Individual provider Active NPI

Heather James

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1962040923
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4845 Issued in TN
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

Updated by the provider on Dec 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4845TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family Health Clinic, PLLC CurrentSince May 2, 2022 Accepting new patients
Imani Behavioral Health, PLLC PastSince Dec 22, 2019 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.

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.

Verify at the official NPI Registry.