Active NPI
Emily Neilson, LPC-MHSP
- Counselor
- Brentwood, TN
National Provider Identifier
1164066007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4778
- Practice address
- 103 Continental PL Ste 120
Brentwood, TN 37027-1086 - Phone
- (502) 472-7713
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4778 | TN | Primary |
Addresses
Primary practice location
103 Continental PL Ste 120
Brentwood, TN 37027-1086
Mailing address
568 Natchez Bend Rd
Nashville, TN 37221-9714
Phone (502) 472-7713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4778 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1164066007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 NATCHEZ BEND RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372219714",
"telephone_number": "502-472-7713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CONTINENTAL PL STE 120",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271086",
"telephone_number": "502-472-7713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILSON",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-04",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "4778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.