Organization Active NPI

Consulting Associates, LLC

Doing business as Body & Mind Consulting

  • Clinical Psychologist
  • Murfreesboro, TN
National Provider Identifier
1053530469
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2431 Issued in TN
Legal business name
CONSULTING ASSOCIATES, LLC
Doing business as
Body & Mind Consulting
Practice address
2611 Salem Creek Dr
Murfreesboro, TN 37128-5587
Phone
(615) 310-1491
Fax
(615) 848-0337
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Mrs. Nicole Parker
Title
Office Administrator
Phone
(615) 310-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2431 TN Primary

Addresses

Primary practice location

2611 Salem Creek Dr
Murfreesboro, TN 37128-5587

Mailing address

2611 Salem Creek Dr
Murfreesboro, TN 37128-5587
Phone (615) 310-1491

Other names 1

  • Body & Mind Consulting Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110809000673 TN Part B Supplier - Clinic/Group Practice 0749459782 Receives reassigned benefits from 2 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

319 W McKnight Dr
Ste 10
Murfreesboro, TN 37129

203 Uptown Sq
Murfreesboro, TN 37129
Phone (615) 310-1491

Practitioners & affiliated clinicians

Practitioners 3

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1053530469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 SALEM CREEK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285587",
            "telephone_number": "615-310-1491",
            "fax_number": "615-848-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 SALEM CREEK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285587",
            "telephone_number": "615-310-1491",
            "fax_number": "615-848-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-09-22",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-310-1491",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "2431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body & Mind Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Body & Mind Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.