Individual provider Active NPI

Abigail Renee Nesbitt, LPC

  • Mental Health Counselor
  • Mount Juliet, TN
National Provider Identifier
1750903985
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2031 N Mount Juliet Rd Ste 201
Mount Juliet, TN 37122-4498
Phone
(615) 438-3615
Fax
(931) 443-0079
NPI assigned
May 11, 2020
Last updated
May 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X TN Primary

Addresses

Primary practice location

2031 N Mount Juliet Rd Ste 201
Mount Juliet, TN 37122-4498

Mailing address

203 Harnett CT
Clarksville, TN 37043-1966
Phone (931) 614-7397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5072TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Possibilities Counseling CurrentSince Jan 31, 2025 Accepting new patients
Life Reimagined LLC CurrentSince Jan 31, 2025 Accepting new patients
Connect Counseling Center, LLC Mental Health PastSince May 17, 2020 Accepting new patients

Locations

3380 Walnut Grove Rd
Sparta, TN 38583
Phone (931) 345-3968

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1750903985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 HARNETT CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431966",
            "telephone_number": "931-614-7397",
            "fax_number": "931-443-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 N MOUNT JULIET RD STE 201",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224498",
            "telephone_number": "615-438-3615",
            "fax_number": "931-443-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "ABIGAIL",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.