Individual provider Active NPI

Ryan Keith Peters, LPC-MHSP, NCC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1144385402
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1660 Issued in TN
Practice address
9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
Phone
(865) 338-5384
Fax
(865) 338-5383
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1660 TN Primary

Addresses

Primary practice location

9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621

Mailing address

5017 Morningstar LN
Knoxville, TN 37909-1346

Other practice location 1

207 N Boone St Ste 13
Johnson City, TN 37604-5659
Phone (865) 338-5384

Other identifiers 1

IdentifierTypeStateIssuer
5441126MedicaidTN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240125000416 TN Practitioner - Mental Health Counselor 3476801655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Next Step Behavioral Health LLCGroup PAC ID 3375873698, 14 clinicians

Practice addresses (Care Compare)

207 N Boone St
Suite 13
Johnson City, TN 37604-5659
Phone (865) 338-5384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1660TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Behavioral Health LLC CurrentSince Mar 26, 2018 Accepting new patients
The Solution Source LLC Past Accepting new patients

Locations

207 N Boone St
Ste 13
Johnson City, TN 37604
Phone (865) 219-3937

252 Harry Lane Blvd
Ste 201
Knoxville, TN 37923
Phone (865) 338-5384

252 Harry Lane Blvd
Ste 201202
Knoxville, TN 37923
Phone (865) 338-5384

Organizations & group practices 2

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.

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": "1770595200000",
    "number": "1144385402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5017 MORNINGSTAR LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 275B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Boone St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045659",
            "country_code": "US",
            "telephone_number": "865-338-5384",
            "fax_number": "865-338-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RYAN",
        "middle_name": "KEITH",
        "credential": "LPC-MHSP, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441126",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.