Active NPI
Leon Manuel Nash III
- Mental Health Counselor
- Columbia, TN
National Provider Identifier
1861665093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 115 Dyer Street
Suite 1
Columbia, TN 38401 - Phone
- (931) 560-4220
- Fax
- (931) 560-4221
- NPI assigned
- Apr 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
115 Dyer Street
Suite 1
Columbia, TN 38401
Mailing address
945 Cleveland Street
Apt E-12
Pulaski, TN 38488
Phone (931) 560-4220
Other names 1
- Mr. Trey Manuel Nash
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1861665093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 CLEVELAND STREET",
"address_2": "APT E-12",
"city": "PULASKI",
"state": "TN",
"postal_code": "38488",
"telephone_number": "931-560-4220",
"fax_number": "931-560-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 DYER STREET",
"address_2": "SUITE 1",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-560-4220",
"fax_number": "931-560-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "LEON",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TREY",
"last_name": "NASH",
"middle_name": "MANUEL",
"prefix": "MR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.