Willette P. Carlyle, MA., LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3352 Issued in TN

Practice address

279 Clear Sky CT Ste D
Clarksville, TN 37043-5946

Phone

(931) 237-4341

Fax

(931) 451-1347

NPI assigned

May 8, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Carlyle Counseling Services, PLLC

  • Professional Counselor
  • Clarksville, TN
  • NPI 1699274522
  NPD Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1962880112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MCCLAIN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405552",
            "telephone_number": "931-217-0947",
            "fax_number": "931-451-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CLEAR SKY CT STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435946",
            "telephone_number": "931-237-4341",
            "fax_number": "931-451-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLYLE",
        "first_name": "WILLETTE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "MA., LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3352",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q032951",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@carlyleLPC.com",
            "affiliation": "Y",
            "affiliationName": "Carlyle Counseling Services, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "279 Clear Sky Ct Ste D",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370435946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carla L. Jones O.D
• Jacqueline Rae Carlisle-Berkley, LPC-MHSP
• Vincent Felix Carlisle
• Nicholas Michael Carlson, DMD
• Carlyle Counseling Services, PLLC
• Joshua Carman
• Tommy L Carman, DO
• Ana M Carmona, PH.D.
• Patricia Lynn Carney
• Crissie Lynn Carpenter, LMSW

• Professional Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.