Individual provider Active NPI

John Stephen Monroe, LPC-MHSP (TEMP)

  • Counselor
  • Memphis, TN
National Provider Identifier
1487286712
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4847 Issued in TN
Practice address
2165 Spicer CV Ste 5
Memphis, TN 38134-5623
Phone
(469) 547-3897
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4847 TN Primary

Addresses

Primary practice location

2165 Spicer CV Ste 5
Memphis, TN 38134-5623

Mailing address

5910 Winding River Way Apt 105
Memphis, TN 38120-2917
Phone (901) 264-2599

Other practice location 1

6363 Poplar Ave Ste 404
Memphis, TN 38119-4831
Phone (901) 209-0990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.monroe@bhgrecovery.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4847TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1487286712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 WINDING RIVER WAY APT 105",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202917",
            "telephone_number": "901-264-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 SPICER CV STE 5",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381345623",
            "telephone_number": "469-547-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6363 Poplar Ave Ste 404",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381194831",
            "country_code": "US",
            "telephone_number": "901-209-0990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP (TEMP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.monroe@bhgrecovery.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "address_1": "2165 Spicer Cv Ste 5",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381345623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 5, 2020; 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.