| Carey Counseling Center, Inc. | |
|
408 Virginia St Paris TN 38242-5341 | |
| (731) 644-1753 | |
| (731) 642-1010 |
| Full Name | Carey Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 408 Virginia St, Paris, Tennessee |
| Authorized Official Name and Position | Robert D Vaughn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7316420521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carey Counseling Center, Inc. 408 Virginia St P.o. Box 30 Paris TN 38242-5341 Ph: (731) 644-1753 | Carey Counseling Center, Inc. 408 Virginia St Paris TN 38242-5341 Ph: (731) 644-1753 |
| NPI Number | 1760568877 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 07/31/2008 |
| Medicare PECOS PAC ID | 4587658042 |
|---|---|
| Medicare Enrollment ID | O20040408001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760568877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0000000225 (Tennessee) | Secondary |
| 101YM0800X | Counselor - Mental Health | L2(14)M2-076-6265 (Tennessee) | Primary |
| Provider Name | Lindsey Hollowell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447399761 PECOS PAC ID: 1052474772 Enrollment ID: I20090107000181 |
| Provider Name | Starr L Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922211226 PECOS PAC ID: 6103980792 Enrollment ID: I20090126000744 |
| Provider Name | Angela Bartholomew |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437305406 PECOS PAC ID: 8426112855 Enrollment ID: I20090130000197 |
| Provider Name | Bar-bra Fai Glisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174815674 PECOS PAC ID: 9537346051 Enrollment ID: I20110610000267 |
| Provider Name | Sherri Sedgebear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245280825 PECOS PAC ID: 5991965600 Enrollment ID: I20120404000139 |
| Provider Name | Kevin Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235416744 PECOS PAC ID: 7113183591 Enrollment ID: I20120730000786 |
| Provider Name | Matthew S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376898262 PECOS PAC ID: 3678729027 Enrollment ID: I20120817000300 |
| Provider Name | Amanda P Lifsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326476185 PECOS PAC ID: 0143533075 Enrollment ID: I20150721000916 |
| Provider Name | Melanie Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386022119 PECOS PAC ID: 1153630488 Enrollment ID: I20151027001877 |
| Provider Name | Brent Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033585427 PECOS PAC ID: 0446552715 Enrollment ID: I20160104000278 |
| Provider Name | Jennifer Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982077137 PECOS PAC ID: 8729382015 Enrollment ID: I20160206000034 |
| Provider Name | Brian Mcmillin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598112898 PECOS PAC ID: 5294021127 Enrollment ID: I20160901001013 |
| Provider Name | John Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487130589 PECOS PAC ID: 4183976491 Enrollment ID: I20181016000939 |
| Provider Name | Matthew Orphanides |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497179188 PECOS PAC ID: 4789012329 Enrollment ID: I20200314000405 |
| Provider Name | Cynthia Runions |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275165441 PECOS PAC ID: 9234550856 Enrollment ID: I20200605000851 |
| Provider Name | Drew Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225667702 PECOS PAC ID: 6901221456 Enrollment ID: I20200731000954 |
| Provider Name | Margaret Fuson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235917675 PECOS PAC ID: 8527411875 Enrollment ID: I20240202000682 |
| Provider Name | Michael Burkeen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518354687 PECOS PAC ID: 6204271828 Enrollment ID: I20240305001450 |
| Provider Name | Lillie M Holcomb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669972709 PECOS PAC ID: 6204275464 Enrollment ID: I20240419003036 |
| Provider Name | Melissa Gammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528768066 PECOS PAC ID: 3779924626 Enrollment ID: I20240509003207 |
Counseling Associates Of West Tennessee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 E Wood St, Paris, TN 38242 Phone: 731-644-1089 Fax: 731-644-2173 | |
Vcphcs Xx, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2555 E Wood St, Paris, TN 38242 Phone: 731-641-4545 Fax: 731-641-4546 | |
Behavioral Medicine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 401 Tyson Ave, Paris, TN 38242 Phone: 731-642-4422 Fax: 731-642-0068 | |
Professional Counseling & Medical Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2920 Highway 641 N, Paris, TN 38242 Phone: 731-642-3600 Fax: 731-642-6037 | |
T.a.r.p., Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Mineral Wells Ave, Suite #3, Paris, TN 38242 Phone: 731-644-0026 Fax: 731-644-1116 | |
Wellness Ambulatory Care Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2555 E Wood St, Paris, TN 38242 Phone: 731-641-4545 Fax: 731-641-4546 | |
Jeffrey B. Warren, M.d. And Associates, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1027 Mineral Wells Ave, Suite 7, Paris, TN 38242 Phone: 731-642-7802 Fax: 731-642-7804 |