Active NPI
Charles Branton Mitchell
- Professional Counselor
- Norris, TN
National Provider Identifier
1902461445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4740
- Practice address
- 115 Oak Rd
Norris, TN 37828-3051 - Phone
- (865) 323-5324
- NPI assigned
- May 9, 2019
- Last updated
- Oct 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4740 | TN | Primary |
Addresses
Primary practice location
115 Oak Rd
Norris, TN 37828-3051
Mailing address
PO Box 221
Norris, TN 37828-0221
Phone (865) 323-5324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Pine Counseling Center LLC | Current | Accepting new patients | |
| The Solution Source, LLC. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norris, TN
- NPI 1871373449
-
- Community/Behavioral Health Agency
- Oneida, TN
- NPI 1730464868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1902461445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 221",
"city": "NORRIS",
"state": "TN",
"postal_code": "378280221",
"telephone_number": "865-323-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 OAK RD",
"city": "NORRIS",
"state": "TN",
"postal_code": "378283051",
"telephone_number": "865-323-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHARLES",
"middle_name": "BRANTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-09",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norris, TN
- Catherine Haviland, M.S. CTRS
- Heart Pine Counseling Center LLC
- Independent Physical Therapy
- Anita Sue Jordan, MSN, APRN, PMHNP-BC
- Deborah Langheld, ND
- Norris Speech Therapy, LLC
- Steven Tyler Oberheim, PHD, LMHC (FL), NCC
- Thomas David Ott
- Recovery Corp. Dba Serenity Centers of Tennessee (Serenity Centers of Tennessee)
- Recovery Corp. Dba Serenity Centers of Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.