Organization Active NPI

Counseling and Learning Center of Tennessee

  • Psychiatry Physician
  • Franklin, TN
National Provider Identifier
1699198895
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
45603 Issued in TN
Legal business name
COUNSELING AND LEARNING CENTER OF TENNESSEE
Practice address
109 International Dr
Suite 220
Franklin, TN 37067-1761
Phone
(615) 550-3560
Fax
(615) 550-3580
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Aimee Miltich Lyst, PHD
Title
Clinical Director
Phone
(615) 550-3560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 2760 TN
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 45603 TN Primary

Addresses

Primary practice location

109 International Dr
Suite 220
Franklin, TN 37067-1761

Mailing address

109 International Dr
Suite 220
Franklin, TN 37067-1761
Phone (615) 550-3560

National Provider Directory

National Provider Directory

Locations

109 International Dr
Ste 220
Franklin, TN 37067
Phone (615) 550-3560

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": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1699198895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 INTERNATIONAL DR",
            "address_2": "SUITE 220",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671761",
            "telephone_number": "615-550-3560",
            "fax_number": "615-550-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 INTERNATIONAL DR",
            "address_2": "SUITE 220",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671761",
            "telephone_number": "615-550-3560",
            "fax_number": "615-550-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND LEARNING CENTER OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "LYST",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "MILTICH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "615-550-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TN",
            "license": "2760",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "45603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.