Individual provider Active NPI

Belinda C Fanning, LMFT

  • Marriage & Family Therapist
  • Clarksville, TN
National Provider Identifier
1184937138
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
#875 Issued in TN
Practice address
120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632
Phone
(931) 213-5300
Fax
(931) 553-4176
NPI assigned
Jul 20, 2010
Last updated
Feb 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X #875 TN Primary

Addresses

Primary practice location

120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632

Mailing address

120 Center Pointe Dr Ste 1
Clarksville, TN 37040-1632
Phone (931) 213-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503003266 TN Practitioner - Marriage and Family Therapist 1254771496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Ctr Pointe Dr
Suite 1
Clarksville, TN 37040-1632
Phone (931) 213-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#875TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Raintree Counseling PLLC CurrentSince Mar 1, 2024 Accepting new patients
Elisha C. Hurley Marriage & Family Therapist Past Accepting new patients

Locations

120 Center Pointe Dr
Ste 1
Clarksville, TN 37040
Phone (931) 213-5300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1184937138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTER POINTE DR STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401632",
            "telephone_number": "931-213-5300",
            "fax_number": "423-565-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTER POINTE DR STE 1",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401632",
            "telephone_number": "931-213-5300",
            "fax_number": "931-553-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "BELINDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "#875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.