Organization Active NPI

Bandel Counseling Service

  • Adult Mental Health Clinic/Center
  • Clarksville, TN
National Provider Identifier
1518448554
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6766 Issued in TN
Legal business name
BANDEL COUNSELING SERVICE
Practice address
113 3Rd St.
Suite 25
Clarksville, TN 37040
Phone
(931) 217-8797
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Nancy Bandel, LCSWNPI 1871928242
Title
Clinical Social Worker
Phone
(931) 217-8797

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
Adult Mental Health Clinic/Center 261QM0850X 6766 TN Primary

Addresses

Primary practice location

113 3Rd St.
Suite 25
Clarksville, TN 37040

Mailing address

3592 Rabbit Run TRL
Adams, TN 37010-8012
Phone (931) 217-8797

National Provider Directory

National Provider Directory

Locations

113 N 3rd St
Ste 25
Clarksville, TN 37040
Phone (931) 217-8797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1518448554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 RABBIT RUN TRL",
            "city": "ADAMS",
            "state": "TN",
            "postal_code": "370108012",
            "telephone_number": "931-217-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 3RD ST.",
            "address_2": "SUITE 25",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-217-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANDEL COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "BANDEL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "931-217-8797",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TN",
            "license": "6766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.