NPIMap

Organization Active NPI

Clover Counseling Services Inc

  • Professional Counselor
  • Bartlett, TN
National Provider Identifier
1265042253
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CLOVER COUNSELING SERVICES INC
Practice address
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone
(901) 387-0026
Fax
(901) 552-4737
NPI assigned
Aug 4, 2020
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Kim CloverNPI 1811191950
Title
President
Phone
(901) 387-0026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895

Mailing address

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone (901) 387-0026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231213001491 TN Part B Supplier - Clinic/Group Practice 0749639912 Receives reassigned benefits from 5 practitioners
Practice locations: Bartlett, TN; Cordova, TN

National Provider Directory

National Provider Directory

Locations

8000 Centerview Pkwy
Ste 511
Cordova, TN 38018
Phone (813) 768-3512

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1265042253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026",
            "fax_number": "901-552-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026",
            "fax_number": "901-552-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER COUNSELING SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "CLOVER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-387-0026"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.