Active NPI
Full-Circle Counseling & Wellness of East Tennessee, LLC
- Clinical Social Worker
- Maryville, TN
National Provider Identifier
1114802816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- FULL-CIRCLE COUNSELING & WELLNESS OF EAST TENNESSEE, LLC
- Practice address
- 1825 W Broadway Ave
Maryville, TN 37801-5511 - Phone
- (217) 821-1958
- NPI assigned
- Aug 11, 2025
- Last updated
- Aug 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacia Chaplin, LCSW
- Title
- Clinical Director
- Phone
- (217) 821-1958
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
1825 W Broadway Ave
Maryville, TN 37801-5511
Mailing address
2010 Ponderosa LN
Maryville, TN 37803-6424
Phone (217) 821-1958
National Provider Directory
National Provider DirectoryLocations
1825 W Broadway Ave
Maryville, TN 37801
Phone (217) 821-1958
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1497036644
-
- Mental Health Counselor
- Maryville, TN
- NPI 1548140510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1114802816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 PONDEROSA LN",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378036424",
"telephone_number": "217-821-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378015511",
"telephone_number": "217-821-1958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL-CIRCLE COUNSELING & WELLNESS OF EAST TENNESSEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "CHAPLIN",
"authorized_official_first_name": "STACIA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "217-821-1958",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.