Organization Active NPI

Christian Counseling Center of Bartlett, LLC

  • Community/Behavioral Health Agency
  • Bartlett, TN
National Provider Identifier
1609162692
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC - 457 Issued in TN
Legal business name
CHRISTIAN COUNSELING CENTER OF BARTLETT, LLC
Practice address
6385 Stage Road
Suite 1
Bartlett, TN 38134
Phone
(901) 382-3888
Fax
(901) 305-6902
NPI assigned
Jun 28, 2011
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Keith B. Fussell, LPC-MHSP; LMFTNPI 1962636712
Title
Owner/Therapist
Phone
(901) 382-3888

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X LPC - 457 TN Primary
Community/Behavioral Health Agency 251S00000X LMFT - 600 TN

Addresses

Primary practice location

6385 Stage Road
Suite 1
Bartlett, TN 38134

Mailing address

6385 Stage Road
Suite 1
Bartlett, TN 38134
Phone (901) 382-3888

Other identifiers 1

IdentifierTypeStateIssuer
1962636712OtherTNINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

2855 Summer Oaks Dr
Bartlett, TN 38134
Phone (901) 377-3988

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1609162692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6385 STAGE ROAD",
            "address_2": "SUITE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-382-3888",
            "fax_number": "901-305-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6385 STAGE ROAD",
            "address_2": "SUITE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-382-3888",
            "fax_number": "901-305-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING CENTER OF BARTLETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "901-382-3888",
        "authorized_official_credential": "LPC-MHSP; LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "LPC - 457",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "LMFT - 600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1962636712",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.