NPIMap

Organization Active NPI

Frayser Millington North Shelby Mental Health Center, Inc.

Doing business as Comprehensive Counseling Network

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1467569525
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
L2(14)34M5-076-6263 Issued in TN
Legal business name
FRAYSER MILLINGTON NORTH SHELBY MENTAL HEALTH CENTER, INC.
Doing business as
Comprehensive Counseling Network
Practice address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone
(901) 353-5440
Fax
(901) 354-7432
NPI assigned
Aug 24, 2006
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Ms. Janet J Whaley, MSW, MBANPI 1447392931
Title
Executive Director
Phone
(901) 354-7315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X L2(14)34M5-076-6263 TN Primary

Addresses

Primary practice location

2150 Whitney Ave
Memphis, TN 38127-6662

Mailing address

2150 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

Other identifiers 1

IdentifierTypeStateIssuer
3725168MedicaidTN

Other names 1

  • Comprehensive Counseling Network Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1467569525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276662",
            "telephone_number": "901-353-5440",
            "fax_number": "901-354-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276662",
            "telephone_number": "901-353-5440",
            "fax_number": "901-354-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAYSER MILLINGTON NORTH SHELBY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WHALEY",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-354-7315",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L2(14)34M5-076-6263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725168",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Counseling Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.