Organization Active NPI

Trailhead Treatment Center

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1104469931
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRAILHEAD TREATMENT CENTER
Practice address
2607 Kingston Pike Ste 2
Knoxville, TN 37919-3336
Phone
(865) 309-5010
NPI assigned
Oct 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
James A Hill, LPC-MHSP, CPANPI 1942697651
Title
Founder and Clinical Director
Phone
(865) 309-5010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

2607 Kingston Pike Ste 2
Knoxville, TN 37919-3336

Mailing address

2607 Kingston Pike Ste 2
Knoxville, TN 37919-3336
Phone (865) 309-5010

Other identifiers 1

IdentifierTypeStateIssuer
300668793MedicaidTN

Other names 1

  • Jimmy Hill, LPC-MHSP Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jimmyhillcounseling@gmail.com

National Provider Directory

National Provider Directory
Tax ID family
Trailhead Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2607 Kingston Pike
Ste 2
Knoxville, TN 37919
Phone (865) 245-5011

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1104469931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193336",
            "telephone_number": "865-309-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193336",
            "telephone_number": "865-309-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "865-309-5010",
        "authorized_official_credential": "LPC-MHSP, CPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300668793",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jimmyhillcounseling@gmail.com",
            "affiliation": "N",
            "address_1": "2607 Kingston Pike Ste 2",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379193336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jimmy Hill, LPC-MHSP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jimmy Hill, LPC-MHSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.