Individual provider Active NPI

Amanda Michelle Keener, LPC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1053680199
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6012 Issued in TN
Practice address
10142 Parkside Dr
Knoxville, TN 37922-1953
Phone
(865) 588-3173
NPI assigned
Dec 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 6012 TN Primary

Addresses

Primary practice location

10142 Parkside Dr
Knoxville, TN 37922-1953

Mailing address

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

Other practice location 1

100 5th St Ste 310
Bristol, TN 37620-5919
Phone (833) 928-1484

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
I20241029001330 TN Practitioner - Mental Health Counselor 0345773479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

10142 Parkside Dr
Suite 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6012TNMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Forensic Consultation, LLC Professional CurrentSince Dec 1, 2023 Accepting new patients
Healthy Mind Counseling Services, Inc CurrentSince Jun 15, 2024 Accepting new patients
The Middle Path Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

100 5th St
Ste 310
Bristol, TN 37620
Phone (423) 822-5099

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

Organizations & group practices 4

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1053680199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221953",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 5th St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376205919",
            "country_code": "US",
            "telephone_number": "833-928-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.