Active NPI
Comprehensive Professional Services
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1396899803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 674
- Legal business name
- COMPREHENSIVE PROFESSIONAL SERVICES
- Practice address
- 2600 Poplar Ave
Suite 516
Memphis, TN 38112-3851 - Phone
- (901) 458-7448
- Fax
- (901) 387-0155
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Howard Eugene Nelson, PH.D., LPC, LCPT
- Title
- Owner
- Phone
- (901) 458-7448
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 674 | TN | Primary |
Addresses
Primary practice location
2600 Poplar Ave
Suite 516
Memphis, TN 38112-3851
Mailing address
2600 Poplar Ave
Suite 516
Memphis, TN 38112-3851
Phone (901) 458-7448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386624336 | Other | TN | NPI NUMBER INDIVIDUALLY |
National Provider Directory
National Provider DirectoryLocations
2600 Poplar Ave
Ste 516
Memphis, TN 38112
Phone (901) 649-9790
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pastoral Counselor
- Memphis, TN
- NPI 1386624336
Mental Health
-
- Professional Counselor
- Memphis, TN
- NPI 1427086396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396899803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 POPLAR AVE",
"address_2": "SUITE 516",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123851",
"telephone_number": "901-458-7448",
"fax_number": "901-387-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 POPLAR AVE",
"address_2": "SUITE 516",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123851",
"telephone_number": "901-458-7448",
"fax_number": "901-387-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PROFESSIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-458-7448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., LPC, LCPT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC 674",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER INDIVIDUALLY",
"identifier": "1386624336",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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- Concentra Health Services, Inc.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.