Individual provider Active NPI

Kristin Marie Cuzzourt, LPC-MHSP

  • Professional Counselor
  • Mount Juliet, TN
National Provider Identifier
1811436405
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4927 Issued in TN
Practice address
660 S Mount Juliet Rd Ste 130
Mt Juliet, TN 37122-6496
Phone
(865) 588-3173
NPI assigned
Feb 16, 2017
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 8515 TN
Professional Counselor 101YP2500X 4927 TN Primary

Addresses

Primary practice location

660 S Mount Juliet Rd Ste 130
Mt Juliet, TN 37122-6496

Mailing address

660 S Mount Juliet Rd Ste 130
Mount Juliet, TN 37122-6496
Phone (655) 883-1738

Other practice location 1

2636 N Mount Juliet Rd
Mount Juliet, TN 37122-8015
Phone (615) 680-0110

Other practice location 2

1405 W Baddour Pkwy Ste 101
Lebanon, TN 37087-2595
Phone (615) 994-1288

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
I20231220001871 TN Practitioner - Other (Non-Physician) 5698125441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

9020 Overlook Blvd
Suite 130
Brentwood, TN 37027-3259
Phone (865) 500-2690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8515TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC Professional CurrentSince May 1, 2022 Accepting new patients
Cedar Recovery of Middle Tennessee, LLC PastSince May 1, 2022 Accepting new patients

Locations

9020 Overlook Blvd
Ste 130
Brentwood, TN 37027
Phone (865) 212-0376

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

1405 W Baddour Pkwy
Ste 101
Lebanon, TN 37087
Phone (615) 257-6844

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

660 S Mount Juliet Rd
Ste 130
Mt Juliet, TN 37122
Phone (615) 880-8427

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1811436405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 130",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226496",
            "telephone_number": "655-883-1738",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 130",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371226496",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2636 N Mount Juliet Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228015",
            "country_code": "US",
            "telephone_number": "615-680-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUZZOURT",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "8515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.