NPIMap

Organization Active NPI

Ebenezer Counseling Services

  • Counselor
  • Knoxville, TN
National Provider Identifier
1750430195
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
EBENEZER COUNSELING SERVICES
Practice address
325 Ebenezer Rd
Knoxville, TN 37923
Phone
(865) 670-0988
Fax
(865) 670-1991
NPI assigned
Jan 8, 2007
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
James T Barry, PHD
Title
President
Phone
(865) 670-0988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Psychologist 103T00000X
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

325 Ebenezer Rd
Knoxville, TN 37923

Mailing address

325 Ebenezer Rd
Knoxville, TN 37923
Phone (865) 670-0988

Other identifiers 1

IdentifierTypeStateIssuer
3107910OtherTNBCBS OF TENNESSEE

Other names 1

  • Ebenezer Counseling Services PC Other name

National Provider Directory

National Provider Directory

Locations

325 Ebenezer Rd
Knoxville, TN 37923
Phone (865) 670-0988

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1750430195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 EBENEZER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-670-0988",
            "fax_number": "865-670-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 EBENEZER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-670-0988",
            "fax_number": "865-670-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBENEZER COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-670-0988",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "3107910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebenezer Counseling Services PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.