Active NPI
David Allen Kinzer, MCOUN
- Professional Counselor
- Lebanon, TN
National Provider Identifier
1780109538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1922 Arlington Rd
Lebanon, TN 37087-4224 - Phone
- (541) 280-7822
- NPI assigned
- Aug 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | OR | Primary |
Addresses
Primary practice location
1922 Arlington Rd
Lebanon, TN 37087-4224
Mailing address
1922 Arlington Rd
Lebanon, TN 37087-4224
Phone (541) 280-7822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1780109538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 ARLINGTON RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874224",
"telephone_number": "541-280-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 ARLINGTON RD",
"city": "LEBANON",
"state": "TN",
"postal_code": "370874224",
"telephone_number": "541-280-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINZER",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "MCOUN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-13",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.