Individual provider Active NPI

Julie Eisenbeck

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1649864521
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1503 16TH Ave S
Nashville, TN 37212-2905
Phone
(615) 499-3062
NPI assigned
Feb 22, 2021
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1503 16TH Ave S
Nashville, TN 37212-2905

Mailing address

116 Carphilly Cir
Franklin, TN 37069-4358
Phone (615) 482-7798

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL jatlas25@gmail.com
Other URL jatlas25@gmail.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel House, PLLC CurrentSince Mar 4, 2021 Accepting new patients

Locations

1503 16th Ave S
Nashville, TN 37212
Phone (615) 499-3062

Organizations & group practices 1

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1649864521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CARPHILLY CIR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370694358",
            "telephone_number": "615-482-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122905",
            "telephone_number": "615-499-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBECK",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jatlas25@gmail.com",
            "affiliation": "N",
            "address_1": "1503 16th Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372122905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jatlas25@gmail.com",
            "affiliation": "N",
            "address_1": "1503 16th Ave S",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372122905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.