Individual provider Active NPI

Joseph Douglas Kinnard, MA, LPC-MHSP

  • Professional Counselor
  • Murfreesboro, TN
National Provider Identifier
1770172553
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5496 Issued in TN
Practice address
1608 Williams Dr Ste 301
Murfreesboro, TN 37129-3195
Phone
(615) 653-4115
Fax
(615) 413-9995
NPI assigned
Jan 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5496 TN Primary

Addresses

Primary practice location

1608 Williams Dr Ste 301
Murfreesboro, TN 37129-3195

Mailing address

1608 Williams Dr Ste 301
Murfreesboro, TN 37129-3195
Phone (615) 653-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116000304 TN Practitioner - Mental Health Counselor 8628420627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5496TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RH Mental Health, LLC CurrentSince Jan 1, 2024 Accepting new patients
Family Care Center, LLC CurrentSince Sep 9, 2024 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Sep 9, 2024 Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

1608 Williams Dr
Ste 301
Murfreesboro, TN 37129
Phone (615) 653-4115

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1770172553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DR STE 301",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293195",
            "telephone_number": "615-653-4115",
            "fax_number": "615-413-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WILLIAMS DR STE 301",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293195",
            "telephone_number": "615-653-4115",
            "fax_number": "615-413-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNARD",
        "first_name": "JOSEPH",
        "middle_name": "DOUGLAS",
        "credential": "MA, LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.