Kristin Janee' Winbush, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4156 Issued in TN

Practice address

5909 Shelby Oaks Dr Ste 117
Memphis, TN 38134-7318

Phone

(901) 361-2330

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ipc Pac Healthcare Services of Tennessee PC

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1104277656

  Single Specialty

  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  Single Specialty, TN

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  Single Specialty, TN

  Medicare reassignment NPD
• K. Janee' LPC-MHSP, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
  • NPI 1437613189
  NPD Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1336300656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR STE 117",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347318",
            "telephone_number": "901-361-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 SHELBY OAKS DR STE 117",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347318",
            "telephone_number": "901-361-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Shelby Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381347316",
            "country_code": "US",
            "telephone_number": "901-252-7600 x7643",
            "fax_number": "901-252-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "KRISTIN",
        "middle_name": "JANEE'",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamika Shantell Wilson
• Erika Rene Wilt, MD
• Latrina Wimberly, M.D.
• Mark Douglas Winborn, PH.D.
• Bobby Winbush
• Joshua K Winchell, BA
• John Sturdivant Winford III, DDS
• William Trevor Winfrey
• Lamarcus Wingate, PHARM.D.
• Olivia Brooks Wingate, PHARMD

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.