Kristopher Garrette Debord, LPC, LADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1331 Issued in TN

Practice address

306 42ND Ave N
Nashville, TN 37209-3602

Phone

(931) 212-0180

NPI assigned

Feb 2, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1407447337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 OLD HICKORY BLVD APT 2607",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372096109",
            "telephone_number": "931-212-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 42ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093602",
            "telephone_number": "931-212-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBORD",
        "first_name": "KRISTOPHER",
        "middle_name": "GARRETTE",
        "credential": "LPC, LADAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Deberry, DNP, ANP-C,FNP-C.
• David K. Deboer, MD
• Julia Marie Debold, PA-C
• Jill Debona, M.D.
• Deborah Sherman, M.D.
• Kristine Debrosse, SLP-CCC
• Jennifer C Debruler
• Erin Debruyn, A.P.N.
• Lauren Debruyn, CNIM
• Allison Hush Deckard, MSN, APRN, CPNP

• Addiction (Substance Use Disorder) Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.