Middle Tennessee Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIDDLE TENNESSEE BEHAVIORAL HEALTH

Practice address

1922 Arlington Rd
Lebanon, TN 37087-4224

Phone

(615) 994-1440

Fax

(615) 965-2243

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

David Allen Kinzer, MCOUN, LPC

Title

Single Member LLC.

Phone

(615) 994-1440

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1871119255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 ARLINGTON RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874224",
            "telephone_number": "615-994-1440",
            "fax_number": "615-965-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 ARLINGTON RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874224",
            "telephone_number": "615-994-1440",
            "fax_number": "615-965-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "KINZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SINGLE MEMBER LLC.",
        "authorized_official_telephone_number": "615-994-1440",
        "authorized_official_credential": "MCOUN, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q057097",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-South Ambulance Service
• Mid-South Cardiology
• Mid-State Oral Surgery of Lebanon
• Middle Tennessee and Adolescent Medicine P.C.
• Middle Tennessee Anesthesia Providers, PLLC
• Middle Tennessee Counseling Services, Inc
• Middle Tennessee Occupational Medicine
• Middle Tennessee Pediatric Services, PLLC
• Midtenn Primary Care, LLC
• Midtn Integrative Therapeutics, LLC

• Mental Health Counselor in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.