Nathan West

Individual provider Active NPI Mental Health Counselor · Knoxville, TN

NPI 1578092383 · NPPES record last updated Feb 21, 2023

Key facts

NPI
1578092383
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
3970 (TN)
Practice address
701 N Central St
Knoxville, TN 37917-7258
Phone
(865) 240-0715
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezer Counseling Services Past Accepting new patients
Ebenezer Counseling Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3970 TN Yes

Addresses

Primary practice location

701 N Central St
Knoxville, TN 37917-7258

Mailing address

701 N Central St
Knoxville, TN 37917-7258

Other providers in Knoxville, TN

All providers in Knoxville, TN · Mental Health Counselor in Tennessee

Sources for this page

Verify at the official NPI Registry.