CENTERSTONE OF TENNESSEE (NPI# 1124495882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124495882 |
| Entity Type | Organization |
| Organization Name | CENTERSTONE OF TENNESSEE |
| Practice Address |
1101 6th Ave N Nashville TN 37208-2650 |
| Practice Telephone | 6154604100 |
| Practice Fax Number | 6154604104 |
| Mailing Telephone | 6154604100 |
| Mailing Fax Number | 6154604104 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Authorized Official Name | DEBORAH COLTON (MOBILE THERAPIST) |
| Authorized Official Telephone | 6158708415 |
| Authorized Official Credential | LPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PE0000011780 | TN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3397960 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588035240 | Centerstone of Tennessee | Case Management | 1820 Memorial Cir, Clarksville, TN 37043-4539 | 2015-10-07 |
| 1356693931 | Centerstone of Tennessee | Case Management | 620 Gallatin Rd, Madison, TN 37115 | 2012-10-08 |
| 1477808475 | Centerstone of Tennessee | Community/Behavioral Health | 404 Pageant Ln, Clarksville, TN 37040-3865 | 2012-07-17 |
| 1376866236 | Centerstone of Tennessee | Community Based Residential Treatment Facility, Mental Illness | 801 School St, Columbia, TN 38401-3108 | 2010-03-08 |
| 1073844866 | Centerstone of Tennessee | Community/Behavioral Health | 1921 Ransom Pl, Nashville, TN 37217-3841 | 2010-01-19 |
| Street Address |
1101 6TH AVE N |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033252820 | Marvin Bradley Nunn | Psychologist | 1101 6th Ave N, Nashville, TN 37208-2650 | 2007-02-14 |
| 1689063760 | Jo Susan Offutt-blackaby | Clinical Nurse Specialist | 1101 6th Ave N, Nashville, TN 37208-2650 | 2015-01-13 |
| 1063837854 | Heather Anne Kamper | Social Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2014-03-03 |
| 1811318991 | Anya Snyder | Nurse Practitioner | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-12-17 |
| 1902237746 | John Davis | Counselor | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-12-04 |
| 1215361969 | Kelly Jo Bombardiere | Case Manager/Care Coordinator | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-08-29 |
| 1215375720 | Christy Michelle Cleland | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2013-06-06 |
| 1225374325 | Lance Dyson | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-12-17 |
| 1366790164 | Lindsey Erin Overhalser | Community Health Worker | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-08-27 |
| 1831447697 | Advantage Behavioral Health | Health Maintenance Organization | 1101 6th Ave N, Nashville, TN 37208-2650 | 2012-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827783 | Kamilah Marie Williams | Community/Behavioral Health | 2333 Rosa L. Parks Apt 402, Nashville, TN 37228 | 2020-10-06 |
| 1518486521 | Julie Vogel | Community/Behavioral Health | 1161 Murfreesboro Pike Ste 323, Nashville, TN 37217-2238 | 2017-09-12 |
| 1811435944 | A Brighter Day Support Services, Inc | Community/Behavioral Health | 107-b Point East Drive, Nashville, TN 37216 | 2017-02-09 |
| 1487190229 | Johansson Counseling | Community/Behavioral Health | 1305 Forrest Oaks Ct N, Nashville, TN 37221-3963 | 2017-01-18 |
| 1396106258 | Amanda Waidelich | Community/Behavioral Health | 219 N Queen St, Nashville, MI 49073-9323 | 2016-03-18 |
| 1740645647 | Martha O'bryan Center | Community/Behavioral Health | 711 S 7th St, Nashville, TN 37206-3815 | 2015-12-18 |
| 1962812966 | Lyons Group Nashville LLP | Community/Behavioral Health | 1231 9th Ave N, Nashville, TN 37208-2552 | 2014-04-30 |
| 1972946317 | Vision Home Health Care LLC | Community/Behavioral Health | 2572a Murfreesboro Pike, D, Nashville, TN 37217-3579 | 2013-04-16 |
| 1639448061 | Autism Therapy Solutions | Community/Behavioral Health | 2817 W End Ave Ste 126-438, Nashville, TN 37203-1453 | 2011-12-13 |
| 1144520511 | Miriam's Promise | Community/Behavioral Health | 522 Russell St, Nashville, TN 37206-4114 | 2010-11-01 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.