Active NPI
Tennessee Community & Court Services
- Addiction (Substance Use Disorder) Counselor
- Millington, TN
National Provider Identifier
1619224870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 872
- Legal business name
- TENNESSEE COMMUNITY & COURT SERVICES
- Practice address
- 4800 Navy Rd
Suite 2
Millington, TN 38053-1914 - Phone
- (901) 872-3020
- Fax
- (901) 872-3019
- NPI assigned
- Aug 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Danny Cosby, LADAC
- Title
- Treatment Manager
- Phone
- (901) 872-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 872 | TN | Primary |
Addresses
Primary practice location
4800 Navy Rd
Suite 2
Millington, TN 38053-1914
Mailing address
4800 Navy Rd
Suite 2
Millington, TN 38053-1914
Phone (901) 872-3020
Other names 1
- TCCS INC
National Provider Directory
National Provider Directory- Tax ID family
- TCCS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Somerville, TN
- NPI 1043626393
Locations
4800 Navy Rd
Ste 2
Millington, TN 38053
Phone (901) 872-3020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344297600000",
"number": "1619224870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 NAVY RD",
"address_2": "SUITE 2",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531914",
"telephone_number": "901-872-3020",
"fax_number": "901-872-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 NAVY RD",
"address_2": "SUITE 2",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380531914",
"telephone_number": "901-872-3020",
"fax_number": "901-872-3019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE COMMUNITY & COURT SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-07",
"last_updated": "2012-08-07",
"status": "A",
"authorized_official_last_name": "COSBY",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "TREATMENT MANAGER",
"authorized_official_telephone_number": "901-872-3020",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LADAC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TCCS INC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.