Organization Active NPI

Connections Counseling and Wellness, LLC

  • Behavior Technician
  • Germantown, TN
National Provider Identifier
1275349516
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
CONNECTIONS COUNSELING AND WELLNESS, LLC
Practice address
6800 Poplar Ave Ste 208
Germantown, TN 38138-7456
Phone
(901) 515-6165
NPI assigned
Dec 10, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Brittin Shalom PalmerNPI 1326245622
Title
Ceo
Phone
(530) 623-1362

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
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6800 Poplar Ave Ste 208
Germantown, TN 38138-7456

Mailing address

6800 Poplar Ave Ste 208
Germantown, TN 38138-7456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250506000327 TN Part B Supplier - Clinic/Group Practice 9739606500 Receives reassigned benefits from 2 practitioners
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory

Locations

6800 Poplar Ave
Ste 208
Memphis, TN 38138
Phone (479) 387-0253

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1275349516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE STE 208",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE STE 208",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387456",
            "telephone_number": "901-515-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRITTIN",
        "authorized_official_middle_name": "SHALOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-623-1362"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; 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.