Harold Edward Bates Sr Sr., LADAC II , MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LDC619 Issued in TN

Practice address

5565 Brook Shade LN
Memphis, TN 38125-4198

Phone

(901) 308-9271

NPI assigned

Oct 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1720740962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 MADISON AVE # 3013",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042620",
            "telephone_number": "901-308-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BROOK SHADE LN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254198",
            "telephone_number": "901-308-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES SR",
        "first_name": "HAROLD",
        "middle_name": "EDWARD",
        "name_suffix": "Sr.",
        "credential": "LADAC II , MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R Bastnagel, MD
• Indranill Basu Ray, MD.
• Natalie Basye
• Dinah Christie Batchelor
• Joseph H Bateman II, OD
• Daphne Bates, RDH
• Jada Bates
• Kassandra Bates
• Rachel Michelle Bates, PA
• Rickey Lee Bates, PH.D.

• Addiction (Substance Use Disorder) Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.