Kathleen Brien Douthat, M.ED., LPC-MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2461 Issued in TN

Practice address

10411 Lovell Center Dr Ste 107
Knoxville, TN 37922-3262

Phone

(865) 804-4978

NPI assigned

Jun 22, 2009

Last updated

Jan 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathleendouthat@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1033346655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 ARONIMINK PT",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342530",
            "telephone_number": "865-804-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 LOVELL CENTER DR STE 107",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223262",
            "telephone_number": "865-804-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHAT",
        "first_name": "KATHLEEN",
        "middle_name": "BRIEN",
        "credential": "M.ED., LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trent Dennison Douglas, M.D.
• Andrew Martin Douglass, M.D.
• Gilliam Douglass III
• John Michael Douglass, D.O.
• Timothy Dean Douglass, P.T.
• Jessica Elkins Dove, FNP-BC
• Denise Elaine Dover
• Norris Dover, M.D.
• Izabella May Dow
• Dowell Springs Behavioral Health, LLC (East Tennessee Behavioral Health)

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.