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JUANITA M KISSELL MA, LPC, NCC, CCMHC
NPI 1265741805
Counselor - Mental Health in Portland, TN

Active since September 30, 2010
1003 BIRCH LN, PORTLAND, TN 37148(615) 878-4058 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juanita M Kissell Ma, Lpc, Ncc, Ccmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUANITA M KISSELL MA, LPC, NCC, CCMHC (NPI 1265741805) is an individual mental health provider in Portland, Tennessee, licensed in Tennessee (LPC2686) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1265741805
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJUANITA M KISSELLCredential: MA, LPC, NCC, CCMHC
Location Address1003 BIRCH LNPortland, TN 37148-6027
Mailing Address1003 Birch LnPortland, TN 37148-6027 · (615) 878-4058
Phone(615) 878-4058
Sole ProprietorNo
Enumeration DateSeptember 30, 2010
Last NPPES UpdateNovember 18, 2015
✔ NPI 1265741805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · LPC2686
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC00545 (MN), LPCC1290 (KY)
1003 BIRCH LN, Portland, TN 37148
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juanita Kissell's NPI number?

The NPI number for Juanita Kissell is 1265741805. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Juanita Kissell located?

Juanita Kissell practices at 1003 Birch Ln, Portland, TN 37148. The listed phone number is (615) 878-4058.

What is Juanita Kissell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Juanita Kissell was last updated on November 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.