Individual provider Active NPI

Pamela R Crumbaugh, LPC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1083840557
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7919 Issued in TN
Practice address
10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone
(765) 977-4415
Fax
(615) 369-8697
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0700466 OH
Professional Counselor 101YP2500X 7919 TN Primary

Addresses

Primary practice location

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955

Mailing address

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (765) 977-4415

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
I20250912000896 TN Practitioner - Mental Health Counselor 8628571957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
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
C0700466OHMDMental Health Counselor
7919TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jul 21, 2025 Accepting new patients

Locations

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

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

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

Interoperability endpoints

  • Direct secure messaging: pbc.pamelacrumbaugh@140098.advancedmd-direct.com

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1083840557",
    "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": "765-977-4415",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "765-977-4415",
            "fax_number": "615-369-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMBAUGH",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0700466",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.