Clarksville Collaborative Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLARKSVILLE COLLABORATIVE COUNSELING LLC

Practice address

1651 Wilma Rudolph Blvd # 205
Clarksville, TN 37040-6783

Phone

(931) 271-4632

Fax

(931) 208-3457

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Tina Parker, LMFTNPI 1003128521

Title

Owner

Phone

(931) 271-4632

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Nicole Parker

  • Cognitive & Behavioral Psychologist
  • Clarksville, TN
  • NPI 1003128521
  NPD Authorized official

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1215682158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 WILMA RUDOLPH BLVD # 205",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406783",
            "telephone_number": "931-271-4632",
            "fax_number": "931-208-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 WILMA RUDOLPH BLVD # 205",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406783",
            "telephone_number": "931-271-4632",
            "fax_number": "931-208-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE COLLABORATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-271-4632",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.