Amy Renfro Massaglia, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LSW0000005248 Issued in TN

Practice address

6231 Highland Place Way
Suite 101
Knoxville, TN 37919-4073

Phone

(865) 264-2400

Fax

(865) 588-6406

NPI assigned

Jul 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• West Knox Behavioral Health, LLC

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1215898317
  NPD Authorized official

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1134561004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6231 HIGHLAND PLACE WAY",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194073",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6231 HIGHLAND PLACE WAY",
            "address_2": "SUITE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194073",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAGLIA",
        "first_name": "AMY",
        "middle_name": "RENFRO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LSW0000005248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayci Ashlan Mason, M.ED
• Meagan Mason, M.S., CCC-SLP
• R Douglas Mason, D.PH.
• Tabatha Mason
• Zanetta Mason, PHARMD
• Jennifer Blair Massaro, APRN
• Mary Kathryn Massaro, PA-C
• Steven James Massaro, MD
• Andrew Masselink
• Lendell Massengale Jr., D.D.S.

• 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 Mar 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.