Family Matters Bradley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0000000694 Issued in TN

Legal business name

FAMILY MATTERS BRADLEY

Practice address

423 Central Ave NW
Cleveland, TN 37311-4923

Phone

(423) 476-1933

Fax

(423) 559-1848

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Kie Vining, CMIN, LPC, MHSP, NCC

Title

Chairman of Board

Phone

(423) 476-1933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1467996504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373114923",
            "telephone_number": "423-476-1933",
            "fax_number": "423-559-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 CENTRAL AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373114923",
            "telephone_number": "423-476-1933",
            "fax_number": "423-559-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MATTERS BRADLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "VINING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KIE",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD",
        "authorized_official_telephone_number": "423-476-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CMIN, LPC, MHSP, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000000694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destynie Allexus Fairchild, BEHAVIOR TECHNICIAN
• Kristen M Faires
• Faith-Centered Christian Counseling
• Adam Fall, MD
• Family Christian Care Center, LLC
• Family Medicine Center
• Terry Farmer, REV.
• Lawrence Evan Farris, PHARMD
• Kamran Farrukh, MD
• Fast Pace Medical Clinic PLLC

• Professional Counselor in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.