Active NPI
Candi Rene Kaatz, LMFT
- Counselor
- Brentwood, TN
National Provider Identifier
1033243126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 530
- Practice address
- 1949 Old Hickory Blvd
Brentwood, TN 37027-4015 - Phone
- (615) 690-4661
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 530 | TN | Primary |
Addresses
Primary practice location
1949 Old Hickory Blvd
Brentwood, TN 37027-4015
Mailing address
1949 Old Hickory Blvd
Brentwood, TN 37027-4015
Phone (615) 690-4661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501120 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 17, 2024 through Jan 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1033243126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1949 OLD HICKORY BLVD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274015",
"telephone_number": "615-690-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1949 OLD HICKORY BLVD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274015",
"telephone_number": "615-690-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAATZ",
"first_name": "CANDI",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501120",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.