Organization Active NPI

Modern Healing Collective PLLC

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1346002086
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MODERN HEALING COLLECTIVE PLLC
Practice address
2621 Gallatin Pike
Nashville, TN 37216-3743
Phone
(615) 502-2115
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Tozia Ware, ED.S, LPC-MHSP(TEMP)NPI 1265217293
Title
Ceo
Phone
(615) 502-2115

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2621 Gallatin Pike
Nashville, TN 37216-3743

Mailing address

2438 Sayerville Ave
Old Hickory, TN 37138-1052

Other practice location 1

2438 Sayerville Ave
Old Hickory, TN 37138-1052
Phone (615) 502-2115

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1346002086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 SAYERVILLE AVE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371381052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 GALLATIN PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163743",
            "telephone_number": "615-502-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2438 Sayerville Ave",
            "address_purpose": "LOCATION",
            "city": "Old Hickory",
            "state": "TN",
            "postal_code": "371381052",
            "country_code": "US",
            "telephone_number": "615-502-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN HEALING COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "TOZIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-502-2115",
        "authorized_official_credential": "ED.S, LPC-MHSP(TEMP)"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2024; 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.