Organization Active NPI

The Counseling Clinic, LLD

  • Counselor
  • Memphis, TN
National Provider Identifier
1861804858
Registry record updated May 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE COUNSELING CLINIC, LLD
Practice address
6373 N Quail Hollow Rd
102
Memphis, TN 38120-1405
Phone
(901) 359-8330
NPI assigned
May 24, 2014
Last updated
May 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2014

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

Authorized official

Name
Demarcus C Davis, LPC/MHSPNPI 1619019007
Title
President
Phone
(901) 359-8330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

6373 N Quail Hollow Rd
102
Memphis, TN 38120-1405

Mailing address

6373 N Quail Hollow Rd
102
Memphis, TN 38120-1405
Phone (901) 359-8330

National Provider Directory

National Provider Directory

Locations

6373 N Quail Hollow Rd
Ste 102
Memphis, TN 38120
Phone (901) 359-8330

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": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400889600000",
    "number": "1861804858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6373 N QUAIL HOLLOW RD",
            "address_2": "102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201405",
            "telephone_number": "901-359-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 N QUAIL HOLLOW RD",
            "address_2": "102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201405",
            "telephone_number": "901-359-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNSELING CLINIC, LLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2014-05-24",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEMARCUS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-359-8330",
        "authorized_official_credential": "LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 2014; 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.