Festus O Imasuen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LPC0000000847 Issued in TN

Practice address

5653 Frist Blvd
Suite 740
Hermitage, TN 37076-2062

Phone

(615) 884-5669

Fax

(615) 884-5670

NPI assigned

Jan 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Panacea Psychiatric Center PLCGroup PAC ID 2668550377, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Panacea Psychiatric Center PLC

  • Geriatric Psychiatry Physician
  • Hermitage, TN
  • NPI 1831360866

  TN

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1508136540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370760249",
            "telephone_number": "615-884-5669",
            "fax_number": "615-884-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 FRIST BLVD",
            "address_2": "SUITE 740",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762062",
            "telephone_number": "615-884-5669",
            "fax_number": "615-884-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMASUEN",
        "first_name": "FESTUS",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LPC0000000847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed I M Hussien
• Margaret Sandin Hustad, M. ED., NCC, LPC
• Bi Hutchison, BCHIS
• Isaiah Iacabone
• Ideal Dental Hermitage PLLC
• Independent Physical Therapy
• Innovative Solutions LLC
• Insight to Ability Speech Therapy, LLC
• Insight Vision Center LLC
• Intellicare

• All providers in Hermitage, TN
• Marriage & Family Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.