Individual provider Active NPI

Teresa A Fleming, LPC-MHSP

  • Professional Counselor
  • Johnson City, TN
National Provider Identifier
1588279129
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5098 Issued in TN
Practice address
214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509
Phone
(423) 283-4958
NPI assigned
Sep 10, 2020
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5098 TN Primary

Addresses

Primary practice location

214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509

Mailing address

214 E Mountcastle Dr Ste 1
Johnson City, TN 37601-2509
Phone (423) 283-4958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Associates CurrentSince Sep 1, 2020 Accepting new patients
Juliann Burks LMFT CurrentSince Feb 13, 2022 Accepting new patients

Locations

214 E Mountcastle Dr
Ste 1
Johnson City, TN 37601
Phone (423) 283-4958

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

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1588279129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E MOUNTCASTLE DR STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012509",
            "telephone_number": "423-283-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MOUNTCASTLE DR STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012509",
            "telephone_number": "423-283-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "TERESA",
        "middle_name": "A",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.