Organization Active NPI

Lantern Lane Farm

  • Clinical Social Worker
  • Mount Juliet, TN
National Provider Identifier
1952726036
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5836 Issued in TN
Legal business name
LANTERN LANE FARM
Practice address
6201 Corinth Rd
Mount Juliet, TN 37122-7603
Phone
(615) 584-6959
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mr. Ralph Cook, LMFT
Title
Ceo
Phone
(615) 584-6959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5836 TN Primary

Addresses

Primary practice location

6201 Corinth Rd
Mount Juliet, TN 37122-7603

Mailing address

6201 Corinth Rd
Mount Juliet, TN 37122-7603
Phone (615) 584-6959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1952726036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 CORINTH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227603",
            "telephone_number": "615-584-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CORINTH RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371227603",
            "telephone_number": "615-584-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN LANE FARM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-584-6959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.