Active NPI
Thomas R. Gutridge, LPC-MHSP
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1083663116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-164
- Practice address
- 2507 Mineral Springs Ave
Suite C
Knoxville, TN 37917-1549 - Phone
- (865) 688-0661
- Fax
- (865) 688-5780
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-164 | TN | Primary |
Addresses
Primary practice location
2507 Mineral Springs Ave
Suite C
Knoxville, TN 37917-1549
Mailing address
2507 Mineral Springs Ave
Suite C
Knoxville, TN 37917-1549
Phone (865) 688-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-164 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Sidney Alexander, M.D., P.C. | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Knoxville, TN
- NPI 1538204003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083663116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 MINERAL SPRINGS AVE",
"address_2": "SUITE C",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379171549",
"telephone_number": "865-688-0661",
"fax_number": "865-688-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 MINERAL SPRINGS AVE",
"address_2": "SUITE C",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379171549",
"telephone_number": "865-688-0661",
"fax_number": "865-688-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTRIDGE",
"first_name": "THOMAS",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "LPC-MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC-164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.