Individual provider Active NPI

Neil Stoltzfus

  • Mental Health Counselor
  • Johnson City, TN
National Provider Identifier
1003637695
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
926 W Oakland Ave Ste 202
Johnson City, TN 37604-1445
Phone
(423) 850-1150
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7146 TN
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

926 W Oakland Ave Ste 202
Johnson City, TN 37604-1445

Mailing address

926 W Oakland Ave Ste 202
Johnson City, TN 37604-1445
Phone (423) 850-1150

Other practice location 1

2112 N Roan St Ste 300
Johnson City, TN 37601-2519
Phone (865) 588-3173

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
I20260602003669 TN Practitioner - Mental Health Counselor 3678044476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7146TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jun 18, 2026 Accepting new patients

Locations

2112 N Roan St
Ste 300
Johnson City, TN 37601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1003637695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-850-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE STE 202",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-850-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 N Roan St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376012519",
            "country_code": "US",
            "telephone_number": "865-588-3173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLTZFUS",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7146",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.