Organization Active NPI

Crossville Counseling Center, P.C.

  • Community/Behavioral Health Agency
  • Crossville, TN
National Provider Identifier
1639571409
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSVILLE COUNSELING CENTER, P.C.
Practice address
1299 Genesis Rd Ste 3
Crossville, TN 38555-5693
Phone
(931) 456-8600
Fax
(931) 456-8607
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Denise Joy Weaver, L.C.S.W., PH.D.
Title
Owner/Therapist
Phone
(931) 456-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1299 Genesis Rd Ste 3
Crossville, TN 38555-5693

Mailing address

1299 Genesis Rd Ste 3
Crossville, TN 38555-5693
Phone (931) 456-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150413002305 TN Part B Supplier - Clinic/Group Practice 9537487020 Receives reassigned benefits from 1 practitioner
Practice locations: Crossville, TN

National Provider Directory

National Provider Directory

Locations

1299 Genesis Rd
Ste 3
Crossville, TN 38555
Phone (931) 456-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1639571409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 GENESIS RD STE 3",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555693",
            "telephone_number": "931-456-8600",
            "fax_number": "931-456-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 GENESIS RD STE 3",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555693",
            "telephone_number": "931-456-8600",
            "fax_number": "931-456-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE COUNSELING CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "931-456-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.C.S.W., PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.