Individual provider Active NPI

Glenda D Murray

  • Professional Counselor
  • Bartlett, TN
National Provider Identifier
1881137446
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000003641 Issued in TN
Practice address
2868 Summer Oaks Dr
Ste 103
Bartlett, TN 38134-2818
Phone
(901) 488-2266
Fax
(901) 389-3666
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0000003641 TN Primary

Addresses

Primary practice location

2868 Summer Oaks Dr
Ste 103
Bartlett, TN 38134-2818

Mailing address

700 Kelleys Chapel Rd
Burlison, TN 38015-6412
Phone (901) 488-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001250 TN Practitioner - Mental Health Counselor 1254777444 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0000003641TNMDProfessional Counselor
3641TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Feb 17, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 31, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 31, 2024 Accepting new patients

Locations

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

132 Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-7435

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1881137446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 KELLEYS CHAPEL RD",
            "city": "BURLISON",
            "state": "TN",
            "postal_code": "380156412",
            "telephone_number": "901-488-2266",
            "fax_number": "901-389-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 SUMMER OAKS DR",
            "address_2": "STE 103",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342818",
            "telephone_number": "901-488-2266",
            "fax_number": "901-389-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "GLENDA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000003641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.