MR. KEITH BAUGUS FUSSELL (NPI# 1962636712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962636712 |
| Entity Type | Individual |
| Full Name | MR. KEITH BAUGUS FUSSELL |
| Credential | LPC, LMFT |
| Practice Address |
2855 Summer Oaks Dr Bartlett TN 38134-3812 |
| Practice Telephone | 9013823888 |
| Mailing Telephone | 9013823888 |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
457 | TN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 600 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2855 SUMMER OAKS DR |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851878292 | Dr Max S Breazeal Dds Pllc | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-07-27 |
| 1104322759 | Katy Leech | Counselor | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2018-04-03 |
| 1568981108 | Neil Johnson | Dentist | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2017-09-14 |
| 1609162692 | Christian Counseling Center of Bartlett, LLC | Community/Behavioral Health | 2855 Summer Oaks Dr, Bartlett, TN 38134-3812 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255799722 | Erik L. Carlton | Marriage & Family Therapist | 6510 Stage Rd Ste 3, Bartlett, TN 38134-3892 | 2016-01-29 |
| 1700417789 | Robert Zak | Marriage & Family Therapist | 250 S Il Route 59, Bartlett, IL 60103-1648 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132599 | Maura Caitlyn Merritt | Marriage & Family Therapist | 4032 Hallborough Way, Hermitage, TN 37076-3290 | 2020-10-19 |
| 1629675350 | Mary Alexandra Coleman | Marriage & Family Therapist | 807 B. Porter Rd, Nashville, TN 37206 | 2020-10-06 |
| 1003423740 | Morgan Bates | Marriage & Family Therapist | 1001 4th Ave N Apt 454, Nashville, TN 37219-1142 | 2020-09-27 |
| 1437766474 | Clinton Timothy Hamm | Marriage & Family Therapist | 105 N Maple St Ste 7, Murfreesboro, TN 37130-3524 | 2020-09-24 |
| 1326653726 | Megan Elizabeth Kandros | Marriage & Family Therapist | 2929 Sidco Dr, Nashville, TN 37204-3709 | 2020-09-11 |
| 1497369508 | Brandon Holt | Marriage & Family Therapist | 2700 Westside Dr Nw Ste 200, Cleveland, TN 37312-3699 | 2020-09-04 |
| 1851918924 | Dominique Gabrielle Braden | Marriage & Family Therapist | 2366 Arbor Pointe Way, Hermitage, TN 37076-3701 | 2020-07-06 |
| 1518581198 | Laura Anderson | Marriage & Family Therapist | 2021 21st Ave S Ste 426, Nashville, TN 37212-4350 | 2020-05-30 |
| 1841811668 | Sarah Frances Shannon | Marriage & Family Therapist | 924 Jordan Cir, White Bluff, TN 37187-4833 | 2020-05-04 |
| 1902426067 | Sara Marciel | Marriage & Family Therapist | 580 Franklin Rd Ste 200, Franklin, TN 37069-8224 | 2020-04-19 |
| Find all providers with the same taxonomy | ||||
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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.