Organization Active NPI

Mitis Care Counseling PLLC

  • Counselor
  • Clarksville, TN
National Provider Identifier
1093621351
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MITIS CARE COUNSELING PLLC
Practice address
740 Franklin St
Clarksville, TN 37040-3348
Phone
(615) 682-1282
NPI assigned
Aug 19, 2026
Organization subpart
Yes
Parent organization
MITIS CARE COLLECTIVE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mr. Joshua Francis Medeiros, LPC-MHSP
Title
Founder
Phone
(615) 682-1282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

740 Franklin St
Clarksville, TN 37040-3348

Mailing address

104 Red Paint RDG
Clarksville, TN 37043-1529
Phone (615) 682-1282

National Provider Directory

National Provider Directory

Locations

740 Franklin St
Clarksville, TN 37040

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1093621351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RED PAINT RDG",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431529",
            "telephone_number": "615-682-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRANKLIN ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403348",
            "telephone_number": "615-682-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITIS CARE COUNSELING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MITIS CARE COLLECTIVE LLC",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MEDEIROS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "615-682-1282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.