Organization Active NPI

Frontlines Wellness Center PLLC

  • Mental Health Counselor
  • Bartlett, TN
National Provider Identifier
1487350914
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FRONTLINES WELLNESS CENTER PLLC
Practice address
2865 Summer Oaks Dr Ste 101
Bartlett, TN 38134-2888
Phone
(901) 249-0792
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Melissa A Walker, LPCNPI 1326592817
Title
Owner
Phone
(901) 828-6858

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

2865 Summer Oaks Dr Ste 101
Bartlett, TN 38134-2888

Mailing address

5711 Redford Ave
Memphis, TN 38135-1403
Phone (901) 828-6858

National Provider Directory

National Provider Directory

Locations

2865 Summer Oaks Dr
Ste 101
Bartlett, TN 38134
Phone (901) 249-0792

Practitioners & affiliated clinicians

Practitioners 1

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1487350914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 REDFORD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381351403",
            "telephone_number": "901-828-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SUMMER OAKS DR STE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342888",
            "telephone_number": "901-249-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINES WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-828-6858",
        "authorized_official_credential": "LPC"
    },
    "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 Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.