NPIMap

Organization Active NPI

Clarksville Family Therapy

  • Community/Behavioral Health Agency
  • Clarksville, TN
National Provider Identifier
1861753105
Registry record updated Sep 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5611 Issued in TN
Legal business name
CLARKSVILLE FAMILY THERAPY
Practice address
2535 Madison St
Suite D
Clarksville, TN 37043-3920
Phone
(931) 820-1021
Fax
(931) 820-1031
NPI assigned
Jun 4, 2012
Last updated
Sep 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2012

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

Authorized official

Name
Ken Murray, LCSW
Title
Owner
Phone
(931) 820-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5611 TN Primary

Addresses

Primary practice location

2535 Madison St
Suite D
Clarksville, TN 37043-3920

Mailing address

2535 Madison St
Suite D
Clarksville, TN 37043-3920
Phone (931) 820-1021

Other names 1

  • Kenneth Murray Former legal business name

National Provider Directory

National Provider Directory

Locations

2535 Madison St
Ste D
Clarksville, TN 37043
Phone (931) 368-1153

Practitioners & affiliated clinicians

Practitioners 5

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": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346457600000",
    "number": "1861753105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 MADISON ST",
            "address_2": "SUITE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433920",
            "telephone_number": "931-820-1021",
            "fax_number": "931-820-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 MADISON ST",
            "address_2": "SUITE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433920",
            "telephone_number": "931-820-1021",
            "fax_number": "931-820-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-09-01",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-820-1021",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth Murray",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2012; 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.