Kathryn Mary Defatta, LPC, MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0000004411 Issued in TN

Practice address

2323 21St Ave S Ste 300
Nashville, TN 37212-4930

Phone

(615) 414-1831

NPI assigned

Feb 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1992262216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 INDIANA AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372092153",
            "telephone_number": "615-414-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "615-414-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFATTA",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "credential": "LPC, MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0000004411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dees, MD
• Robert Clifford Dees, PA-C
• Carrie Grace Deese, LCSW
• Maddison Arrielynn Deese, FNP-BC
• Kirby Hudson Deeter, DPM
• Taylor M Defelice, M.D.
• Catherine Mannon Deffendall, MD
• Daniel C Deffendall, CRNA
• David Deffendall, CRNA
• Kellie Deffendall, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.