Active NPI
Eric Bottoms
- Professional Counselor
- Brentwood, TN
National Provider Identifier
1992266456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4533
- Practice address
- 5205 Maryland Way Ste 310
Brentwood, TN 37027-1006 - Phone
- (615) 601-0454
- NPI assigned
- Mar 27, 2019
- 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 | 4533 | TN | Primary |
Addresses
Primary practice location
5205 Maryland Way Ste 310
Brentwood, TN 37027-1006
Mailing address
PO Box 1088
Nolensville, TN 37135-1088
Phone (615) 601-0454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4533 | Other | TN | LICENSED PROFESSIONAL COUNSELOR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4533 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1992266456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1088",
"city": "NOLENSVILLE",
"state": "TN",
"postal_code": "371351088",
"telephone_number": "615-601-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 MARYLAND WAY STE 310",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370271006",
"telephone_number": "615-601-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTOMS",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "4533",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.