Organization Active NPI

Metro Counseling Center

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1932378635
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
METRO COUNSELING CENTER
Practice address
1355 Lynnfield Rd # B
Suite 245
Memphis, TN 38119-5801
Phone
(901) 818-5433
Fax
(901) 818-5435
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Otis Sumlin Jr., LCSWNPI 1508977448
Title
Owner
Phone
(901) 818-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1355 Lynnfield Rd # B
Suite 245
Memphis, TN 38119-5801

Mailing address

1355 Lynnfield Rd # B
Suite 245
Memphis, TN 38119-5801
Phone (901) 818-5433

Other identifiers 2

IdentifierTypeStateIssuer
4080319OtherTNBLUE CROSS OF TN
3697111MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1932378635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 LYNNFIELD RD # B",
            "address_2": "SUITE 245",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195801",
            "telephone_number": "901-818-5433",
            "fax_number": "901-818-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 LYNNFIELD RD # B",
            "address_2": "SUITE 245",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195801",
            "telephone_number": "901-818-5433",
            "fax_number": "901-818-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SUMLIN",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-818-5433",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TN",
            "identifier": "4080319",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3697111",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.