Organization Active NPI

TT & S Family Foundation Inc

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1447532205
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2111 Issued in TN
Legal business name
TT & S FAMILY FOUNDATION INC
Practice address
319 Plus Park Blvd
Nashville, TN 37217-1098
Phone
(615) 915-4074
Fax
(615) 942-6342
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Authorized official

Name
Ms. Thelma Dees-Johnson
Title
LPC-MHSP
Phone
61591504074

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 2111 TN Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2111 TN
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 3847 TN
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 2111 TN

Addresses

Primary practice location

319 Plus Park Blvd
Nashville, TN 37217-1098

Mailing address

PO Box 132
Old Hickory, TN 37138-0132
Phone (615) 915-4074

Other identifiers 2

IdentifierTypeStateIssuer
H445718MedicaidTN
5442020MedicaidTN

Other names 1

  • Azaela Trace Assisted Living Other name

National Provider Directory

National Provider Directory

Locations

319 Plus Park Blvd
Ste 202
Nashville, TN 37217
Phone (615) 915-4074

319 Plus Park Blvd
Nashville, TN 37217
Phone (615) 915-4074

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1447532205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371380132",
            "telephone_number": "615-915-4074",
            "fax_number": "615-942-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 PLUS PARK BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171098",
            "telephone_number": "615-915-4074",
            "fax_number": "615-942-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT & S FAMILY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "DEES-JOHNSON",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "LPC-MHSP",
        "authorized_official_telephone_number": "61591504074",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2111",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2111",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TN",
            "license": "3847",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "2111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445718",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5442020",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azaela Trace Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.