Active NPI
Joshua M Zello, LPC-MHSP
- Professional Counselor
- Cleveland, TN
National Provider Identifier
1790181865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0000003039
- Practice address
- 225 2ND St NW
Cleveland, TN 37311 - Phone
- (423) 310-8206
- NPI assigned
- Nov 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0000003039 | TN | |
| Professional Counselor | 101YP2500X | LPC0000003039 | TN | Primary |
Addresses
Primary practice location
225 2ND St NW
Cleveland, TN 37311
Mailing address
PO Box 2224
Cleveland, TN 37320-2224
Phone (423) 310-8206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000003039 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Traverse Counseling Services PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Cleveland, TN
- NPI 1811439110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1790181865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2224",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373202224",
"telephone_number": "423-310-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 2ND ST NW",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37311",
"telephone_number": "423-310-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLO",
"first_name": "JOSHUA",
"middle_name": "M",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-17",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "LPC0000003039",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC0000003039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.