Individual provider Active NPI

Phillip Owens, ED.D., LPC/MHSP

  • Professional Counselor
  • Nashville, TN
National Provider Identifier
1710230628
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1804 Issued in TN
Practice address
4004 Hillsboro Rd Ste A207
Nashville, TN 37215-2228
Phone
(855) 284-7483
NPI assigned
Oct 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11720 TN
Professional Counselor 101YP2500X 1804 TN Primary

Addresses

Primary practice location

4004 Hillsboro Rd Ste A207
Nashville, TN 37215-2228

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone (540) 217-6461

Other practice location 1

4038 Gap Rd
Knoxville, TN 37912-5903
Phone (865) 525-0391

Other practice location 2

1113 Murfreesboro Rd Ste 202
Franklin, TN 37064-1318
Phone (615) 790-0567

Other practice location 3

1310 East Main St.
Chattanooga, TN 37404
Phone (855) 284-7483

Other practice location 4

4038 Gap Rd
Knoxville, TN 37912-5903
Phone (865) 525-0391

Other practice location 5

7200 Cumberland Dr
Fairview, TN 37062
Phone (615) 790-0567

Other practice location 6

1310 East Main St.
Chattanooga, TN 37404
Phone (855) 284-7483

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

State licenses

LicenseStateTypeSpecialty
1804TNMDOccupational Therapy Assistant
11720TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Sep 7, 2021 Accepting new patients
Mercy Health Services - Fairview Middle School PastSince Aug 1, 2019 Accepting new patients
The Solution Source LLC Past Accepting new patients
Mercy Health Services, Inc. Professional PastSince Aug 1, 2019 Accepting new patients
Thriveworks Telepsychiatry - Tennessee PastSince Oct 24, 2021 Accepting new patients

Locations

1310 E Main St
Chattanooga, TN 37404
Phone (909) 363-5268

4004 Hillsboro Rd
Ste A207
Nashville, TN 37215
Phone (815) 723-8286

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1710230628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "540-217-6461",
            "fax_number": "615-814-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 HILLSBORO RD STE A207",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152228",
            "telephone_number": "855-284-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4038 Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379125903",
            "country_code": "US",
            "telephone_number": "865-525-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Murfreesboro Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370641318",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 East Main St.",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4038 Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379125903",
            "country_code": "US",
            "telephone_number": "865-525-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7200 Cumberland Dr",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "TN",
            "postal_code": "37062",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 East Main St.",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37404",
            "country_code": "US",
            "telephone_number": "855-284-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "PHILLIP",
        "credential": "ED.D., LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2021-10-20",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "11720",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 20, 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.