Individual provider Active NPI

Crystal Leann Fondren, LPC/MHSP

  • Professional Counselor
  • Hendersonville, TN
National Provider Identifier
1174999155
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3505 Issued in TN
Practice address
100 Springhouse CT Ste 200
Hendersonville, TN 37075-1610
Phone
(865) 588-3173
Fax
(615) 348-4178
NPI assigned
Aug 13, 2015
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 3505 TN Primary

Addresses

Primary practice location

100 Springhouse CT Ste 200
Hendersonville, TN 37075-1610

Mailing address

100 Springhouse CT Ste 200
Hendersonville, TN 37075-1610
Phone (865) 588-3173

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
I20240419001586 TN Practitioner - Mental Health Counselor 9537508858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

100 Springhouse CT
Suite 200
Hendersonville, TN 37075-1610
Phone (615) 912-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3505TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Feb 6, 2024 Accepting new patients
Mental Health Cooperative, Inc PastSince Jul 1, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

100 Springhouse Ct
Ste 200
Hendersonville, TN 37075
Phone (615) 824-8929

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

1415 Old Weisgarber Rd
Ste 360
Knoxville, TN 37909
Phone (865) 345-4557

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

660 S Mount Juliet Rd
Ste 130
Mt Juliet, TN 37122
Phone (615) 880-8427

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.crystalfondren@148560.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1174999155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT STE 200",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751610",
            "telephone_number": "865-588-3173",
            "fax_number": "615-348-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRINGHOUSE CT STE 200",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751610",
            "telephone_number": "865-588-3173",
            "fax_number": "615-348-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "CRYSTAL",
        "middle_name": "LEANN",
        "credential": "LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.