Courtney Elizabeth Bottoms Gustafson, M.ED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4432 Issued in TN

Practice address

155 Franklin Rd Ste 135
Brentwood, TN 37027-4646

Phone

(615) 412-1155

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Nashville Ocd & Anxiety Treatment Center

  • Clinical Psychologist
  • Brentwood, TN
  • NPI 1013594001

  Mental Health

  NPD

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1861937674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 HIGHWAY 46 S",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552565",
            "telephone_number": "615-446-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 135",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274646",
            "telephone_number": "615-412-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTOMS GUSTAFSON",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg Born
• Robert Borruso
• Bryan D. Borsum, D.C.
• Haley Boswell
• Gina F Bottom, MMFT
• Eric Bottoms
• Aaron Boudreaux
• Danielle Catherine Bourque
• Jade Liegh Bowers
• Danielle Bowker, LPC/MHSP

• Professional Counselor in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.