Individual provider Active NPI

Lashonda R Greenwood, PSY.D.

  • Psychologist
  • Smyrna, TN
National Provider Identifier
1902029093
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2711 Issued in TN
Practice address
431 Nissan Dr Ste 200
Smyrna, TN 37167-4365
Phone
(615) 462-6688
Fax
(615) 462-7151
NPI assigned
Apr 10, 2007
Last updated
Jun 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X 2711 TN Primary

Addresses

Primary practice location

431 Nissan Dr Ste 200
Smyrna, TN 37167-4365

Mailing address

2907 Henderson LN
Murfreesboro, TN 37130-3380

Other practice location 1

617 Potomac Pl
Suite 401
Smyrna, TN 37167-5657
Phone (615) 267-0779

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
I20080214000613 TN Practitioner - Clinical Psychologist 9931282167 Reassigns benefits to 1 organization
Practice locations: Smyrna, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

275 Robert Rose Dr
BLDG B
Murfreesboro, TN 37129-6347
Phone (888) 374-5066

5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2711TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Nov 1, 2007 Accepting new patients
Family Care Center, LLC CurrentSince Sep 8, 2023 Accepting new patients
Purposeful Life Counseling and Psychological Services Mental Health CurrentSince Jul 5, 2020 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Sep 8, 2023 Accepting new patients
Tennessee TMS Center, PLLC PastSince Jul 4, 2018 Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 623-4637

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

431 Nissan Dr
Ste 200
Smyrna, TN 37167
Phone (615) 459-5500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1902029093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 HENDERSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 NISSAN DR STE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674365",
            "telephone_number": "615-462-6688",
            "fax_number": "615-462-7151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617 Potomac Pl",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371675657",
            "country_code": "US",
            "telephone_number": "615-267-0779",
            "fax_number": "615-625-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "LASHONDA",
        "middle_name": "R",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.