Active NPI
Brenda Hartgrove, LCSW
- Counselor
- Cleveland, TN
National Provider Identifier
1407947971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LSW0000000735
- Practice address
- 3505 Adkisson Dr NW Ste 211
Cleveland, TN 37312-6805 - Phone
- (423) 473-6731
- Fax
- (423) 709-9920
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LSW0000000735 | TN | Primary |
Addresses
Primary practice location
3505 Adkisson Dr NW Ste 211
Cleveland, TN 37312-6805
Mailing address
PO Box 367
Athens, TN 37371
Phone (423) 507-8826
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW0000000735 | TN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Felt Needs Counseling and Caring Center Inc | Current | Accepting new patients | |
| Columbia Medical Groupdaystar Inc | Past | Accepting new patients | |
| Psychiatric Services of East Tennessee | Past | Accepting new patients |
Locations
3505 Adkisson Dr NW
Ste 211
Cleveland, TN 37312
Phone (423) 473-6731
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Woodbury, TN
- NPI 1669033155
-
dba Daystar Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, TN
- NPI 1417960733
-
- Substance Abuse Rehabilitation Facility
- Athens, TN
- NPI 1871658757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1407947971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "ATHENS",
"state": "TN",
"postal_code": "37371",
"telephone_number": "423-507-8826",
"fax_number": "423-507-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ADKISSON DR NW STE 211",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126805",
"telephone_number": "423-473-6731",
"fax_number": "423-709-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTGROVE",
"first_name": "BRENDA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LSW0000000735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.