Individual provider Active NPI

Amy Lynne Crosswhite, LMFT

  • Marriage & Family Therapist
  • Mountain City, TN
National Provider Identifier
1003039512
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1157 Issued in TN
Practice address
305 College St
Mountain City, TN 37683-1301
Phone
(423) 460-1555
Fax
(423) 644-0090
NPI assigned
Apr 11, 2007
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X 1157 TN Primary

Addresses

Primary practice location

305 College St
Mountain City, TN 37683-1301

Mailing address

305 College St
Mountain City, TN 37683-1301
Phone (423) 460-1555

Other practice location 1

318 Donnelly Street
Frontier Health / Johnson Country Mental Health Clinic
Mountain City, TN 37683
Phone (423) 727-2100

Other names 1

  • Ms. Amy Lynne Lovell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003066 TN Practitioner - Marriage and Family Therapist 0143671552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 College St
Mountain City, TN 37683-1301
Phone (423) 460-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1157TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Crosswhite, PLLC Marriage & Family Therapist CurrentSince Dec 13, 2023 Accepting new patients

Locations

305 College St
Mountain City, TN 37683
Phone (423) 460-1555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1003039512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COLLEGE ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831301",
            "telephone_number": "423-460-1555",
            "fax_number": "423-644-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COLLEGE ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376831301",
            "telephone_number": "423-460-1555",
            "fax_number": "423-644-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Donnelly Street",
            "address_2": "Frontier Health / Johnson Country Mental Health Clinic",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "37683",
            "country_code": "US",
            "telephone_number": "423-727-2100",
            "fax_number": "423-727-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSWHITE",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LOVELL",
            "middle_name": "LYNNE",
            "prefix": "MS.",
            "credential": "L.M.F.T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain City, TN

Sources for this page

Verify at the official NPI Registry.