Active NPI
Phillip Owens, ED.D., LPC/MHSP
- Professional Counselor
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1804 | TN | MD | Occupational Therapy Assistant |
| 11720 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Mercy Health Services - Fairview Middle School | Past | Accepting new patients | |
| The Solution Source LLC | Past | Accepting new patients | |
| Mercy Health Services, Inc. | Professional | Past | Accepting new patients |
| Thriveworks Telepsychiatry - Tennessee | Past | 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.
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairview, TN
- NPI 1730627159
-
- Federally Qualified Health Center (FQHC)
- Franklin, TN
- NPI 1952480501
Professional
-
- Community/Behavioral Health Agency
- Knoxville, TN
- NPI 1114100955
-
- Mental Health Counselor
- Chattanooga, TN
- NPI 1598418535
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.