Individual provider Active NPI

Angela Goins, MSSW

  • Professional Counselor
  • Sevierville, TN
National Provider Identifier
1003292236
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6313 Issued in TN
Practice address
1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone
(865) 970-9800
Fax
(865) 453-2449
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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
Professional Counselor 101YP2500X 6313 TN Primary

Addresses

Primary practice location

1104 Foxwood Dr
Sevierville, TN 37862-6000

Mailing address

1104 Foxwood Dr
Sevierville, TN 37862-6000
Phone (865) 970-9800

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
I20240326000845 TN Practitioner - Mental Health Counselor 9234576257 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6313TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Sleep Associates of East Tennessee PLLC PastSince Apr 30, 2023 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1451 Dowell Springs Blvd
Knoxville, TN 37909
Phone (865) 374-7123

1104 Foxwood Dr
Sevierville, TN 37862
Phone (865) 429-8042

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/840cfaf0-ce3e-493c-a182-e85f2fdef4ac/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1003292236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 FOXWOOD DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626000",
            "telephone_number": "865-970-9800",
            "fax_number": "865-453-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 FOXWOOD DR",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626000",
            "telephone_number": "865-970-9800",
            "fax_number": "865-453-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "ANGELA",
        "credential": "MSSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.