Active NPI
King Allen Counts, LMFT
- Marriage & Family Therapist
- Clarksville, TN
National Provider Identifier
1023397270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0000000647
- Practice address
- 915 Tiny Town Rd
Clarksville, TN 37042-7663 - Phone
- (931) 553-6981
- NPI assigned
- Aug 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Marriage & Family Therapist | 106H00000X | 0000000647 | TN | Primary |
Addresses
Primary practice location
915 Tiny Town Rd
Clarksville, TN 37042-7663
Mailing address
915 Tiny Town Rd
PO Box 20626
Clarksville, TN 37042-7663
Phone (931) 553-6981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000647 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321747200000",
"number": "1023397270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 TINY TOWN RD",
"address_2": "PO BOX 20626",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427663",
"telephone_number": "931-553-6981",
"fax_number": "931-553-6982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 TINY TOWN RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427663",
"telephone_number": "931-553-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "KING",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2011-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "0000000647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.