CHRISTIAN COUNSELING CENTER OF BARTLETT, LLC (NPI# 1609162692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609162692 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNSELING CENTER OF BARTLETT, LLC |
| Practice Address |
2855 Summer Oaks Dr Bartlett TN 38134-3812 |
| Practice Telephone | 9013823888 |
| Mailing Telephone | 9013823888 |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |
| Authorized Official Name | KEITH B. FUSSELL (MANAGING PARTNER) |
| Authorized Official Telephone | 9013823888 |
| Authorized Official Credential | LPC-MHSP; LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | LMFT - 600 | TN | Agencies |
| Y | 251S00000X | Community/Behavioral Health | LPC - 457 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | INDIVIDUAL NPI | 1962636712 | 01 |
| Street Address |
2855 SUMMER OAKS DR |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636712 | Keith Baugus Fussell | Counselor | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2009-05-07 |
| 1851878292 | Dr Max S Breazeal Dds Pllc | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-07-27 |
| 1104322759 | Katy Leech | Counselor | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-04-03 |
| 1568981108 | Neil Johnson | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2017-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881192698 | Tn Therapeutic Solutions, LLC | Community/Behavioral Health | 2993 Kate Bond Rd, Bartlett, TN 38133-4004 | 2018-01-26 |
| 1952836314 | Jill Depriest Lpc-mhsp | Community/Behavioral Health | 3826 Thistle Knoll Cv, Bartlett, TN 38135-7425 | 2017-04-24 |
| 1881080547 | Hanover Township Youth and Family Service | Community/Behavioral Health | 250 S. Route 59, Bartlett, IL 60103-1648 | 2015-04-09 |
| 1821252941 | Skinner Counseling Associates | Community/Behavioral Health | 7932 Hyman Dr, Bartlett, TN 38133-2862 | 2008-07-17 |
| 1356555072 | Bartlett Learning Center | Community/Behavioral Health | 801 W Bartlett Rd, Bartlett, IL 60103-4401 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889823 | Infinite Changes Aba Therapy & Autism Services | Community/Behavioral Health | 5115 Covington Way Ste 5, Memphis, TN 38134-5619 | 2020-10-20 |
| 1144827783 | Kamilah Marie Williams | Community/Behavioral Health | 2333 Rosa L. Parks Apt 402, Nashville, TN 37228 | 2020-10-06 |
| 1073145876 | Middle Tn Counseling Services, Pllc | Community/Behavioral Health | 104 Peacock St., Bell Buckle, TN 37020-3702 | 2020-02-10 |
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1922643220 | Rs Medical Services Ltd | Community/Behavioral Health | 2700 Jackson Ave Bldg 1, Memphis, TN 38108-3330 | 2019-11-10 |
| 1790337699 | Clean, Inc. | Community/Behavioral Health | 3146 Write Pl Apt 4, Memphis, TN 38128-4535 | 2019-07-10 |
| 1861050882 | Divine Trinity Outreach Center | Community/Behavioral Health | 4670 Mary Angela Rd, Memphis, TN 38109-4802 | 2019-06-04 |
| 1740749175 | Sunflower Counseling Service Pllc | Community/Behavioral Health | 6628 Elmore Woods Cv, Memphis, TN 38134-4745 | 2019-03-15 |
| 1285190181 | Jenny Sue Collins-king | Community/Behavioral Health | 300 W 1st North St, Morristown, TN 37814-4605 | 2019-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.