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

Last updated

Jan 9, 2012By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panacea Psychiatric Center PLC

  • Geriatric Psychiatry Physician
  • Hermitage, TN
  • NPI 1831360866
  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 (Foot Solutions)
• Insight to Ability Speech Therapy, LLC (Hermitage Therapy & Learning Center)
• Insight Vision Center LLC
• Intellicare

• Marriage & Family Therapist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• 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.