Active NPI
Sue Frazier-Bear, MS/LPC,MHSP,S
- Mental Health Counselor
- Jonesborough, TN
National Provider Identifier
1063004240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC0000001842
- Practice address
- 501 N Cherokee St Ste 2
Jonesborough, TN 37659-5599 - Phone
- (423) 262-0180
- Fax
- (423) 262-0181
- NPI assigned
- Feb 9, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC0000001842 | TN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC0000001842 | TN | |
| Professional Counselor | 101YP2500X | LPC0000001842 | TN | |
| Mental Health Counselor | 101YM0800X | LPC0000001842 | TN | Primary |
Addresses
Primary practice location
501 N Cherokee St Ste 2
Jonesborough, TN 37659-5599
Mailing address
501 N Cherokee St Ste 2
Jonesborough, TN 37659-5599
Phone (423) 262-0180
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sfrazierbear.mk@moralkombat.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000001842 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1063004240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N CHEROKEE ST STE 2",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376595599",
"telephone_number": "423-262-0180",
"fax_number": "423-262-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N CHEROKEE ST STE 2",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376595599",
"telephone_number": "423-262-0180",
"fax_number": "423-262-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER-BEAR",
"first_name": "SUE",
"credential": "MS/LPC,MHSP,S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC0000001842",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "LPC0000001842",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC0000001842",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC0000001842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sfrazierbear.mk@moralkombat.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "501 N Cherokee St Ste 2",
"city": "Jonesborough",
"state": "TN",
"country_code": "US",
"postal_code": "376595599",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jonesborough, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.