Brian R Humphreys, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1491 Issued in TN

Practice address

15 Forest CT
Knoxville, TN 37919-5002

Phone

(865) 588-9919

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124189188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FOREST CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195002",
            "telephone_number": "865-588-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FOREST CT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195002",
            "telephone_number": "865-588-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "P1491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "0124826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laticia Humphrey, RN
• Nicia Humphrey
• Sarah Humphrey, PA
• Diane Humphreys-Barlow, MSW
• Bailey Meyer Humphreys
• Emily Richardson Humphreys, LCSW
• Janet B Humphreys, MSN, MPH, ANP
• Megan Noel Humphreys
• Derrick A Humprhrey
• Susan W. Hundley, MA

• Mental Health Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.