Individual provider Active NPI

Steven Clark Brink, LPC, MHSP

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1316426596
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2660 Issued in TN
Practice address
1619 17TH Ave S
Nashville, TN 37212-2812
Phone
(615) 356-2700
Fax
(615) 872-2767
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2660 TN Primary

Addresses

Primary practice location

1619 17TH Ave S
Nashville, TN 37212-2812

Mailing address

1619 17TH Ave S
Nashville, TN 37212-2812
Phone (615) 356-2700

Other practice location 1

745 S Church St Ste 505
Murfreesboro, TN 37130-4980
Phone (615) 690-4511 ext. 4511

Other identifiers 1

IdentifierTypeStateIssuer
1992754139OtherTNEMPLOYER

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Heights Professional Associates Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1316426596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122812",
            "telephone_number": "615-356-2700",
            "fax_number": "615-872-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 17TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122812",
            "telephone_number": "615-356-2700",
            "fax_number": "615-872-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 S Church St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371304980",
            "country_code": "US",
            "telephone_number": "615-690-4511 x4511",
            "fax_number": "615-574-7724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "STEVEN",
        "middle_name": "CLARK",
        "credential": "LPC, MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER",
            "identifier": "1992754139",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.