NPIMap

Organization Active NPI

Methodist Le Bonheur Healthcare Eap

  • Professional Counselor
  • Memphis, TN
National Provider Identifier
1033465620
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
101YP2500X Issued in TN
Legal business name
METHODIST LE BONHEUR HEALTHCARE EAP
Practice address
5050 Poplar Ave
Suite # 1118
Memphis, TN 38157-0101
Phone
(901) 683-5658
Fax
(901) 684-1277
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Mrs. Susan E. Picart, LCSW
Title
Eap Counselor
Phone
(901) 683-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 101YP2500X TN Primary

Addresses

Primary practice location

5050 Poplar Ave
Suite # 1118
Memphis, TN 38157-0101

Mailing address

5050 Poplar Ave
Suite # 1118
Memphis, TN 38157-0101
Phone (901) 683-5658

National Provider Directory

National Provider Directory
Tax ID family
Methodist Le Bonheur Healthcare Eap4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5050 Poplar Ave
Ste 1118
Memphis, TN 38157
Phone (901) 683-5658

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1033465620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE",
            "address_2": "SUITE # 1118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570101",
            "telephone_number": "901-683-5658",
            "fax_number": "901-684-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE",
            "address_2": "SUITE # 1118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570101",
            "telephone_number": "901-683-5658",
            "fax_number": "901-684-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST LE BONHEUR HEALTHCARE EAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "PICART",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EAP COUNSELOR",
        "authorized_official_telephone_number": "901-683-5658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "101YP2500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.