CHRISTIAN COUNSELING AND CONSULTING, LLC (NPI# 1811299514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811299514 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNSELING AND CONSULTING, LLC |
| Practice Address |
1169 Jefferson Ave Memphis TN 38104-2221 |
| Mailing Address |
1120 Summer Springs Rd Collierville TN 38017-9403 |
| Practice Telephone | 9015281278 |
| Practice Fax Number | 9017216044 |
| Mailing Telephone | 9015281278 |
| Mailing Fax Number | 9017216044 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | DR. CAROLYN JUNIOR BRYANT (CHIEF MANAGER) |
| Authorized Official Telephone | 9015281278 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0463 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073902359 | Christian Counseling and Consulting, LLC | Social Worker | 1331 Union Ave, Suite 707, Memphis, TN 38104-3513 | 2015-01-09 |
| 1407297047 | Christian Counseling and Consulting, LLC | Community/Behavioral Health | 1331 Union Ave, Suite 707, Memphis, TN 38104-3513 | 2013-07-11 |
| Street Address |
1169 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083695688 | Heather R Swanson | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2005-11-10 |
| 1679111967 | Brittanay Moore | Social Worker | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2019-12-17 |
| 1841634649 | Dana Lynn Sanders | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104 | 2013-04-23 |
| 1497098610 | Farhad Modarai | Family Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2013-04-05 |
| 1568738649 | Sandeep Palakodeti | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2012-03-22 |
| 1184911943 | Deanna Louise Jackson | Nurse Practitioner | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2011-06-30 |
| 1730404377 | Jewel Arrie Harris | Family Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2010-04-06 |
| 1639313208 | Jaclyn Beaghan Bergeron | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2009-04-27 |
| 1871746800 | Cheryl Denise Givens | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104-7217 | 2008-11-04 |
| 1619140209 | Gregory Lance Phelps Jr. | Internal Medicine | 1169 Jefferson Ave, Memphis, TN 38104 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814306 | Hinda Rashki Osina | Social Worker | 5344 Brantford Ave, Memphis, TN 38120-2440 | 2020-09-03 |
| 1740893130 | Longmire Counseling Services, LLC | Social Worker | 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 | 2020-08-26 |
| 1619595519 | Pha'meshia Calico | Social Worker | 3687 Paradise Lake Drive, Memphis, TN 38115-3811 | 2020-07-08 |
| 1609404599 | Amanda Lorelle Gitomer | Social Worker | 5395 Estate Office Dr Ste 15395, Memphis, TN 38119-0614 | 2020-03-28 |
| 1730748476 | Anne Renee Dillard | Social Worker | 5050 Poplar Ave Ste 1118, Memphis, TN 38157-1118 | 2019-06-06 |
| 1477111797 | Karen Elaine Dotson | Social Worker | 1039 Bluebird Rd, Memphis, TN 38116-4003 | 2019-06-01 |
| 1689150393 | Lauren Byrd Hansen | Social Worker | 4136 Philwood Ave, Memphis, TN 38122-3913 | 2018-07-16 |
| 1487164356 | Robert Brian Dove | Social Worker | 4515 Poplar Ave Ste 419, Memphis, TN 38117-7508 | 2017-10-05 |
| 1760991038 | Crystal Dinesse Deberry | Social Worker | 4821 American Way Ste 200g, Memphis, TN 38118-2471 | 2017-09-29 |
| 1780103010 | Brittney Scantling | Social Worker | 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132-2111 | 2017-09-19 |
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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.