NPIMap

Organization Active NPI

Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
National Provider Identifier
1023900651
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CENTERSTONE OF TENNESSEE, INC.
Practice address
1960 Kimball Ave FL 3
Manhattan, KS 66502-3391
Phone
(877) 463-6505
NPI assigned
Jul 17, 2025
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Lynette Keene
Title
VP, Cybersecurity, It Security
Phone
(615) 463-6523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1960 Kimball Ave FL 3
Manhattan, KS 66502-3391

Mailing address

1960 Kimball Ave FL 3
Manhattan, KS 66502-3391
Phone (877) 463-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126003380 KS Part B Supplier - Clinic/Group Practice 9739088113 Receives reassigned benefits from 7 practitioners
Practice locations: Manhattan, KS

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Centerstone Community M27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

1960 Kimball Ave
Fl 3
Manhattan, KS 66502
Phone (877) 463-6505

3505 Village Dr
Ste 101
Fayetteville, NC 28304
Phone (615) 463-6669

6110 Shallowford Rd
Ste B
Chattanooga, TN 37421
Phone (423) 499-1031

1779 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 648-0711

511 8th St
Clarksville, TN 37040
Phone (615) 595-8383

775 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 221-3850

812 Greenwood Ave
Clarksville, TN 37040
Phone (931) 429-6684

832 Greenwood Ave
Clarksville, TN 37040
Phone (931) 648-4925

2241 Thornton Taylor Pkwy
Fayetteville, TN 37334
Phone (931) 433-6456

1090 Old Florence Rd
Lawrenceburg, TN 38464
Phone (931) 762-6505

1101 6th Ave N
Nashville, TN 37208
Phone (615) 460-4100

44 Vantage Way
Ste 400
Nashville, TN 37228
Phone (615) 310-1568

4525 Harding Pike
Ste B235
Nashville, TN 37205
Phone (615) 460-4080

654 W Iris Dr
Nashville, TN 37204
Phone (615) 269-5170

604 S Wall St
Shelbyville, TN 37160
Phone (931) 684-0522

713 Cheatham St
Springfield, TN 37172
Phone (615) 460-4560

1330 N Main St
Tennessee Ridge, TN 37178
Phone (931) 721-3312

4618 Old Manchester Hwy
Tullahoma, TN 37388
Phone (931) 393-3485

105 Waverly Plz
Waverly, TN 37185
Phone (931) 296-4356

Practitioners & affiliated clinicians

Practitioners 662

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 662

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1023900651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 KIMBALL AVE FL 3",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023391",
            "telephone_number": "877-463-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 KIMBALL AVE FL 3",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023391",
            "telephone_number": "877-463-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE OF TENNESSEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "VP, CYBERSECURITY, IT SECURITY",
        "authorized_official_telephone_number": "615-463-6523"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.