Sunrise Counseling Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3208 Issued in TN

Legal business name

SUNRISE COUNSELING SERVICES LLC

Practice address

3929 Lamar Dr Ste a
Clarksville, TN 37040-7354

Phone

(931) 494-6803

Fax

(888) 332-3984

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Carlisle-Berkley, LPC-MHSPNPI 1487886933

Title

Owner/Therapist

Phone

(931) 494-6803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Goin, LCSW

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1225330822
  Medicare reassignment NPD
• Jacqueline Rae Carlisle-Berkley, LPC-MHSP

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1487886933
  NPD Authorized official
• Valerie Brooks

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1205405560
  NPD
• Shelia Carter, MA, NCC

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1003693649
  NPD
• Rickey Jones Jr.

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1528414539
  NPD
• Venecia Varela-Visker, LMSW

  • Social Worker
  • Clarksville, TN
  • NPI 1962906149
  NPD
• Brian Henry Peters

  • Counseling Psychologist
  • Newton, KS
  • NPI 1447008420
  NPD
• April Davis

  • Marriage & Family Therapist
  • Clarksville, TN
  • NPI 1225816408
  NPD (past)
• Gloria Dudley

  • Counselor
  • Clarksville, TN
  • NPI 1881470110
  NPD (past)
• Jacob Michael Elliott, M.S., NCC

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1235802513
  NPD (past)
• Jakay Lamarr Matheny, LCSW

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1699344341
  NPD (past)
• Rachel Layne Mayfield

  • Mental Health Counselor
  • Clarksville, TN
  • NPI 1013793819
  NPD (past)

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1780191114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 LAMAR DR",
            "address_2": "STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405083",
            "telephone_number": "931-494-6803",
            "fax_number": "888-332-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 LAMAR DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407354",
            "telephone_number": "931-494-6803",
            "fax_number": "888-332-3984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2321 Rudolphtown Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "37043",
            "country_code": "US",
            "telephone_number": "931-494-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CARLISLE-BERKLEY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "931-494-6803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.