Individual provider Active NPI

Marten A. Fadelle, MMFT

  • Marriage & Family Therapist
  • Brentwood, TN
National Provider Identifier
1407627185
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
7101 Peach CT Ste 200
Brentwood, TN 37027-5279
Phone
(615) 212-5121
NPI assigned
Jan 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

7101 Peach CT Ste 200
Brentwood, TN 37027-5279

Mailing address

1024 Manley LN E
Brentwood, TN 37027-5501
Phone (615) 878-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fadelle Counseling and Wellness, LLC Marriage & Family Therapist CurrentSince Jan 14, 2024 Accepting new patients

Locations

7101 Peach Ct
Ste 200
Brentwood, TN 37027
Phone (434) 531-8049

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1407627185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MANLEY LN E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275501",
            "telephone_number": "615-878-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 PEACH CT STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275279",
            "telephone_number": "615-212-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADELLE",
        "first_name": "MARTEN",
        "middle_name": "A.",
        "credential": "MMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.