Individual provider Active NPI

Frederick Justin Nixon, LPC-MHSP, NCC

  • Mental Health Counselor
  • Brentwood, TN
National Provider Identifier
1851678080
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000003069 Issued in TN
Practice address
750 Old Hickory Blvd # 2-150
Brentwood, TN 37027-4528
Phone
(615) 200-0995
Fax
(615) 373-1582
NPI assigned
Nov 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0000003069 TN Primary
Counselor 101Y00000X LPC0000003069 TN

Addresses

Primary practice location

750 Old Hickory Blvd # 2-150
Brentwood, TN 37027-4528

Mailing address

750 Old Hickory Blvd # 2-150
Brentwood, TN 37027-4528
Phone (615) 200-0995

Other identifiers 1

IdentifierTypeStateIssuer
Q014251MedicaidTN

Other names 1

  • Justin Nixon Professional name

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
I20260625003105 TN Practitioner - Mental Health Counselor 0042652273 Practice locations: Brentwood, TN

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Old Hickory Blvd
Brentwood, TN 37027-2259

750 Old Hickory Blvd
2 150
Brentwood, TN 37027-4528
Phone (615) 200-0995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000003069TNMDMental Health Counselor
3069TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Patch Counseling LLC Mental Health CurrentSince Dec 7, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1851678080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD # 2-150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-200-0995",
            "fax_number": "615-373-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD # 2-150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-200-0995",
            "fax_number": "615-373-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "FREDERICK",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000003069",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "LPC0000003069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q014251",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "NIXON",
            "credential": "LPC-MHSP, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.