Active NPI
Matthew Edward Fearrington, PH.D.
- Counseling Psychologist
- Lenoir City, TN
National Provider Identifier
1285632489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2641
- Practice address
- 501 Adesa Blvd, Suite a-150
Lenoir City, TN 37771 - Phone
- (865) 986-8082
- Fax
- (865) 986-5890
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2641 | TN | Primary |
Addresses
Primary practice location
501 Adesa Blvd, Suite a-150
Lenoir City, TN 37771
Mailing address
Department 888182
Knoxville, TN 37995-0001
Phone (800) 355-3565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983311 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2641 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285632489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 888182",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379950001",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ADESA BLVD, SUITE A-150",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "37771",
"telephone_number": "865-986-8082",
"fax_number": "865-986-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEARRINGTON",
"first_name": "MATTHEW",
"middle_name": "EDWARD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TN",
"license": "2641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3983311",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.