THE HEADSHOP
NPI 1508643818
Counselor - Professional in Memphis, TN

Q: What is The Headshop's NPI number?

The NPI number for The Headshop is 1508643818. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Mardrey Wade Kiles.

Q: What is The Headshop's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for The Headshop was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2023

5104 STAGE RD, MEMPHIS, TN 38134(901) 870-8682(901) 424-9078 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About The Headshop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE HEADSHOP (NPI 1508643818), doing business as Mardrey Wade Kiles, is a healthcare organization registered as a professional in Memphis, Tennessee and active in the NPI registry since September 2023. The organization lists Mardrey Alicia Wade Kiles, Owner, Clinical Director, Therapist, as its authorized official.

NPPES Registry Identity

NPI1508643818

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameTHE HEADSHOP

Location Address5104 STAGE RDMemphis, TN 38134-3164

Mailing Address1788 Cheshunt LnCordova, TN 38016-3507 · (901) 870-8682 · Fax (901) 424-9078

Phone(901) 870-8682

Fax(901) 424-9078

Organization SubpartYes

Authorized OfficialMardrey Alicia Wade KilesOwner, Clinical Director, Therapist · (901) 870-8682

Enumeration DateSeptember 11, 2023

Last NPPES UpdateOctober 27, 2025

NPPES CertifiedOctober 27, 2025

✔ NPI 1508643818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

5104 STAGE RD, Memphis, TN 38134

Open in Google Maps ↗

Other Names 2

Doing Business AsMardrey Wade Kiles

Other NameThe Headshop

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARDREY ALICIA WADE KILES LPC

Counselor (Professional)

5104 STAGE RD
MEMPHIS, TN 38134

Shelby County (901) 646-1053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Headshop's NPI number?

The NPI number for The Headshop is 1508643818. It was assigned to this organization in the NPPES registry on September 11, 2023. The provider is doing business as Mardrey Wade Kiles.

Where is The Headshop located?

The Headshop is located at 5104 Stage Rd, Memphis, TN 38134. The listed phone number is (901) 870-8682.

What is The Headshop's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for The Headshop was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.