Individual provider Active NPI

Brandon Crishaun Ousley, LMSW

  • Social Worker
  • Memphis, TN
National Provider Identifier
1700602133
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8126 Issued in TN
Practice address
3385 Airways Blvd Ste 204
Memphis, TN 38116-3808
Phone
(901) 249-4120
Fax
(901) 666-1925
NPI assigned
Dec 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8126 TN Primary

Addresses

Primary practice location

3385 Airways Blvd Ste 204
Memphis, TN 38116-3808

Mailing address

3385 Airways Blvd Ste 204
Memphis, TN 38116-3808
Phone (901) 249-4120

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
Heal Memphis Social Worker CurrentSince Dec 8, 2024 Accepting new patients

Locations

3385 Airways Blvd
Ste 204
Memphis, TN 38116
Phone (901) 249-4120

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1700602133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD STE 204",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163808",
            "telephone_number": "901-249-4120",
            "fax_number": "901-666-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD STE 204",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163808",
            "telephone_number": "901-249-4120",
            "fax_number": "901-666-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUSLEY",
        "first_name": "BRANDON",
        "middle_name": "CRISHAUN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "8126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.