Active NPI
Jessica Lee Van Haaften
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1114741147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5921
- Practice address
- 9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506 - Phone
- (865) 290-0211
- Fax
- (865) 951-7308
- NPI assigned
- Nov 15, 2024
- Last updated
- Nov 20, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 5921 | TN | Primary |
Addresses
Primary practice location
9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506
Mailing address
9111 Cross Park Dr Ste E-285
Knoxville, TN 37923-4506
Phone (865) 290-0211
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insightful Journey Therapy Services PLLC | Professional | Current | Accepting new patients |
Locations
9111 Cross Park Dr
Ste E285
Knoxville, TN 37923
Phone (865) 290-0211
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1104581990
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1114741147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE E-285",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234506",
"telephone_number": "865-290-0211",
"fax_number": "865-951-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE E-285",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234506",
"telephone_number": "865-290-0211",
"fax_number": "865-951-7308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HAAFTEN",
"first_name": "JESSICA",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "5921",
"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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.