Innovative Counseling & Consulting

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INNOVATIVE COUNSELING & CONSULTING

Practice address

1455 Poplar Ave
Memphis, TN 38104-2934

Phone

(901) 276-0220

Fax

(901) 276-0225

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Norman N Miller Jr.NPI 1265607220

Title

Chief Executive Officer

Phone

(901) 276-0220

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Clark Cannon, LMSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1568584514
  Medicare reassignment NPD
• Yolanda Lavette Conners, DNP, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
  • NPI 1568901791
  Medicare reassignment NPD
• Norman Nathaniel Miller Jr., LADAC, NCAC

  • Addiction (Substance Use Disorder) Counselor
  • Memphis, TN
  • NPI 1265607220
  NPD (past) Authorized official
• Mattie Boyd Hughlett, LCSW

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1609961556
  NPD (past)
• Carolyn Webber, MS,LPC

  • Mental Health Counselor
  • Memphis, TN
  • NPI 1518097864
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1891820841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042934",
            "telephone_number": "901-276-0220",
            "fax_number": "901-276-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042934",
            "telephone_number": "901-276-0220",
            "fax_number": "901-276-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "901-276-0220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Injury Medical Center of Memphis
• Joel S Inman, CRNA
• Nicholas Jordan Inman, MD
• Vladyslava Inman, DNP
• Innovative Behavior Services
• Innovative Global Management
• Inpatient Physicians of Memphis, P. C.
• Inside Out Counseling & Coaching, LLC
• Inspirational Community Living, Inc.
• Inspirational Gifts Transportation Service Inc

• Substance Abuse Rehabilitation Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Substance Abuse Rehabilitation Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.