Organization Active NPI

Children's Counseling Resource

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1811167075
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S COUNSELING RESOURCE
Practice address
5118 Park Ave
Ste 525
Memphis, TN 38117-5720
Phone
(901) 289-8294
Fax
(901) 682-8697
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Jeffrey Freiden, ED.D., LPC,MHSPNPI 1538220744
Title
Ceo
Phone
(901) 289-8294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5118 Park Ave
Ste 525
Memphis, TN 38117-5720

Mailing address

PO Box 771139
Memphis, TN 38177-1139
Phone (901) 289-8294

Other names 1

  • Counseling Resources of America Other name

National Provider Directory

National Provider Directory

Locations

5118 Park Ave
Ste 525
Memphis, TN 38117
Phone (901) 682-3371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1811167075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771139",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381771139",
            "telephone_number": "901-289-8294",
            "fax_number": "901-682-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 PARK AVE",
            "address_2": "STE 525",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175720",
            "telephone_number": "901-289-8294",
            "fax_number": "901-682-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S COUNSELING RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "FREIDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-289-8294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LPC,MHSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Resources of America",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.