Organization Active NPI

Brandon M. Cole, LPC, MHSP, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bristol, TN
National Provider Identifier
1376931204
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LPC0000003243 Issued in TN
Legal business name
BRANDON M. COLE, LPC, MHSP, PLLC
Practice address
739 Bluff City Hwy Ste 8
Bristol, TN 37620-4637
Phone
(423) 444-5169
Fax
(423) 217-1069
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mr. Brandon Cole, LPC, MHSP
Title
Owner
Phone
(423) 444-5169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC0000003243 TN Primary

Addresses

Primary practice location

739 Bluff City Hwy Ste 8
Bristol, TN 37620-4637

Mailing address

739 Bluff City Hwy Ste 8
Bristol, TN 37620-4637
Phone (423) 444-5169

National Provider Directory

National Provider Directory

Locations

739 Bluff City Hwy
Ste 8
Bristol, TN 37620
Phone (423) 444-5169

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1376931204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY STE 8",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-444-5169",
            "fax_number": "423-217-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BLUFF CITY HWY STE 8",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376204637",
            "telephone_number": "423-444-5169",
            "fax_number": "423-217-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON M. COLE, LPC, MHSP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-444-5169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, MHSP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "LPC0000003243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.