Active NPI
Connie S. Cole, PH.D.
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1124183215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P-1388
- Practice address
- 9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4521 - Phone
- (865) 382-2546
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P-1388 | TN | Primary |
Addresses
Primary practice location
9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4521
Mailing address
9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4521
Phone (865) 382-2546
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11269 | Other | VALUE OPTIONS | |
| 4084729 | Other | AETNA | |
| 95040 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624000163 | TN | Practitioner - Psychologist Billing Independently | 8527379114 | Practice locations: Knoxville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Tennessee, HSC, College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9724 Kingston Pike
Suite 1004
Knoxville, TN 37922-6906
Phone (865) 470-2546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P-1388 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1124183215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE D200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234521",
"telephone_number": "865-382-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR STE D200",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234521",
"telephone_number": "865-382-2546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "CONNIE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P-1388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "11269",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4084729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "95040",
"state": null
}
],
"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 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.