NPIMap

Organization Active NPI

Experience Therapy Group, LLC

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1457095556
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EXPERIENCE THERAPY GROUP, LLC
Practice address
3250 Dickerson Pike Ste 211
Nashville, TN 37207-2969
Phone
(615) 701-6884
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Andrew Chapman, LCSWNPI 1336743129
Title
Owner
Phone
(423) 400-0977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3250 Dickerson Pike Ste 211
Nashville, TN 37207-2969

Mailing address

3250 Dickerson Pike Ste 211
Nashville, TN 37207-2969
Phone (615) 701-6884

National Provider Directory

National Provider Directory

Locations

3250 Dickerson Pike
Ste 211
Nashville, TN 37207
Phone (615) 262-0063

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1457095556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 DICKERSON PIKE STE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072969",
            "telephone_number": "615-701-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 DICKERSON PIKE STE 211",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072969",
            "telephone_number": "615-701-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-400-0977",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 2022; 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.