Organization Active NPI

Resolution Therapy Associates, PLLC

  • Counseling Psychologist
  • Lebanon, TN
National Provider Identifier
1295908416
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2655 Issued in TN
Legal business name
RESOLUTION THERAPY ASSOCIATES, PLLC
Practice address
228 W Main St
Ste. B
Lebanon, TN 37087-2744
Phone
(615) 414-8249
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Christina S Jones, PH.D.NPI 1821273608
Title
President
Phone
(615) 414-8249

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 2655 TN Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 4196 TN

Addresses

Primary practice location

228 W Main St
Ste. B
Lebanon, TN 37087-2744

Mailing address

228 W Main St
Ste. B
Lebanon, TN 37087-2744
Phone (615) 414-8249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000559 TN Part B Supplier - Clinic/Group Practice 6305925876 Receives reassigned benefits from 2 practitioners
Practice locations: Lebanon, TN

National Provider Directory

National Provider Directory

Locations

123 N Greenwood St
Lebanon, TN 37087
Phone (615) 453-9696

228 W Main St
Ste B
Lebanon, TN 37087
Phone (615) 414-8249

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1295908416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "address_2": "STE. B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872744",
            "telephone_number": "615-414-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "address_2": "STE. B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872744",
            "telephone_number": "615-414-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTION THERAPY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-414-8249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2655",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.