Organization Active NPI

Department of Veteran Affairs

  • Professional Counselor
  • Murfreesboro, TN
National Provider Identifier
1053598763
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60284 Issued in TX
Legal business name
DEPARTMENT OF VETERAN AFFAIRS
Practice address
3400 Lebanon Rd
BLDG 11
Murfreesboro, TN 37129-1237
Phone
(615) 876-6000
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Authorized official

Name
Ms. Connie Marie West, MS, LPCI
Title
Addiction Therapist
Phone
(615) 867-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 60284 TX Primary

Addresses

Primary practice location

3400 Lebanon Rd
BLDG 11
Murfreesboro, TN 37129-1237

Mailing address

3400 Lebanon Rd
BLDG 11
Murfreesboro, TN 37129-1237
Phone (615) 876-6000

Other names 1

  • Tennessee Valley Health Care System Other name

National Provider Directory

National Provider Directory

Locations

3400 Lebanon Rd
Bldg 11
Murfreesboro, TN 37129
Phone (615) 225-3959

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1053598763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "address_2": "BLDG 11",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291237",
            "telephone_number": "615-876-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "address_2": "BLDG 11",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291237",
            "telephone_number": "615-876-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "615-867-6000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPCI"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Valley Health Care System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 24, 2008; 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.