OrganizationActive
The Headshop
NPI 1508643818 · Professional Counselor · Memphis, TN
The Headshop is a Professional Counselor organization in Memphis, TN (NPI 1508643818).
Provider details
- NPI number
- 1508643818
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Parent organization
- The Headshop
- Organization subpart
- Yes
- Authorized official
- Mardrey Wade Kiles, Owner, Clinical Director, Therapist(901) 870-8682
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5104 Stage Rd
Memphis, TN 38134-3164
Phone: (901) 870-8682
Fax: (901) 424-9078
Street-level locationGet directions
Mailing address
1788 Cheshunt Ln
Cordova, TN 38016-3507
Other names (DBA / former)
- Doing business as
- Mardrey Wade Kiles
- Other name
- The Headshop
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Frequently asked questions
- What is The Headshop's NPI number?
- The Headshop's National Provider Identifier (NPI) is 1508643818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Headshop?
- The Headshop is classified in the NPPES registry as Professional Counselor (Behavioral Health & Social Service Providers).
- Where is The Headshop located?
- The Headshop's practice location on file with NPPES is 5104 Stage Rd, Memphis, TN 38134-3164.
- What is The Headshop's phone number?
- The practice phone number listed in the NPPES registry for The Headshop is (901) 870-8682.
- Who is the authorized official for The Headshop?
- The authorized official listed on The Headshop's NPPES record is Mardrey Wade Kiles, Owner, Clinical Director, Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Headshop's NPI active?
- Yes — The Headshop's NPI (1508643818) is active in the NPPES registry as of the last update on 2025-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.