Charlotte K Trussell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHARLOTTE K TRUSSELL

Practice address

1816 Memorial Cir
Clarksville, TN 37043-4539

Phone

(910) 364-6834

NPI assigned

Feb 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte Kay Trussell, LPC-MHSPNPI 1770067191

Title

Mental Health Counselor (Owner)

Phone

(910) 364-6834

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charlotte Kay Trussell

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1770067191
  NPD Authorized official

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1316579253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 MEMORIAL CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434539",
            "telephone_number": "910-364-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 MEMORIAL CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434539",
            "telephone_number": "910-364-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE K TRUSSELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "TRUSSELL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR (OWNER)",
        "authorized_official_telephone_number": "910-364-6834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavic Jaacob Chandler, M.A.
• Kimberly Diane Chandler, BSW
• Changing Lives Incorporation
• Alexis Chapman
• Amanda Chapman
• Joseph Chatman III
• Sarah Chavez
• Ariel Deann Chavis, APRN
• Wilbert Orlando Chavis, M.D.
• David R Cheatham, D.D.S., M.S.

• Community/Behavioral Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.