Individual provider Active NPI

Anna Josephine Timm

  • Professional Counselor
  • Morristown, TN
National Provider Identifier
1043075823
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6808 Issued in TN
Practice address
1079 E Morris Blvd
Morristown, TN 37813-5901
Phone
(423) 318-7373
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6808 TN Primary

Addresses

Primary practice location

1079 E Morris Blvd
Morristown, TN 37813-5901

Mailing address

1079 E Morris Blvd
Morristown, TN 37813-5901
Phone (423) 318-7373

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
I20240521003486 TN Practitioner - Mental Health Counselor 2860834900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Medical Services, Inc.Group PAC ID 1456384080, 20 clinicians

Practice addresses (Care Compare)

103 Wilton Springs Rd
Newport, TN 37821-6405
Phone (423) 487-2222

111 Mockingbird Ave
Parrottsville, TN 37843-2741
Phone (423) 625-1170

207 Murray Dr
Newport, TN 37821-3631

229 Hedrick Dr
Newport, TN 37821-2902
Phone (423) 623-1057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Medical Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Rural Medical Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Camelot Care Centers, LLC CurrentSince Mar 17, 2024 Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients
Rural Medical Services, Inc. Current Accepting new patients

Locations

3222 Chestnut Hill School Rd
Dandridge, TN 37725
Phone (865) 509-6611

4261 Big Creek Rd
Hartford, TN 37753
Phone (423) 487-2249

1413 Russell Ave
Jefferson Cty, TN 37760
Phone (865) 471-0314

1079 E Morris Blvd
Morristown, TN 37813
Phone (423) 318-7373

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

207 Murray Dr
Newport, TN 37821
Phone (423) 613-3300

229 Hedrick Dr
Newport, TN 37821
Phone (423) 623-1057

111 Mockingbird Ave
Parrottsville, TN 37843
Phone (423) 625-1170

Organizations & group practices 7

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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1043075823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135901",
            "telephone_number": "423-318-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 E MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135901",
            "telephone_number": "423-318-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "ANNA",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.