Marriage & Family Counseling Associates, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW190 Issued in TN

Legal business name

MARRIAGE & FAMILY COUNSELING ASSOCIATES, INC.

Practice address

1640 W Clinch Ave
Knoxville, TN 37916-2524

Phone

(865) 637-5848

Fax

(865) 525-4026

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth J Elliott, M.S.W.

Title

President

Phone

(865) 637-5848

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 4

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

• Mark Holder Barnes, PH.D.

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1538209747
  NPD (past)
• Elaine S Erickson, PH.D.

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1285769257
  NPD (past)
• Laurel B. Goodrich, PH.D.

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1679628598
  NPD (past)
• Harold Warren Wagner, PHD

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1700996196
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487877312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162524",
            "telephone_number": "865-637-5848",
            "fax_number": "865-525-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162524",
            "telephone_number": "865-637-5848",
            "fax_number": "865-525-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRIAGE & FAMILY COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-637-5848",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4542425",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3696258",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS PROVIDER NUMBER",
            "identifier": "0049258",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis A. Marquez, PT
• Heather Nicole Marquis
• Shakendra Marr
• Christian Salvatore Marra
• Carol Teresa Marrero, CRNA
• Crystal Marsh, RBT
• Miranda Elizabeth Marsh
• Nancy Marsh
• Allison Marshall, RBT
• Eraka Fallon Marshall, R.N.

• Clinical Social Worker in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.