New Image Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEW IMAGE WELLNESS

Practice address

3721 Riverdale Rd
Memphis, TN 38115-5322

Phone

(901) 334-4144

Fax

(901) 334-3145

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zanthresa K Hampton, LPC

Title

Managing Partner

Phone

(901) 334-3145

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zanthresa L Hampton

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1467500710
  NPD
• Lequandra Raniece Hale-Banks, LCSW, ACSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1811237134
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1407231269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155322",
            "telephone_number": "901-334-4144",
            "fax_number": "901-334-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 RIVERDALE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155322",
            "telephone_number": "901-334-4144",
            "fax_number": "901-334-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW IMAGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "ZANTHRESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "901-334-3145",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

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