Individual provider Active NPI

Carrie Elizabeth Koehler, LPC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1184376162
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5961 Issued in TN
Practice address
10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone
(865) 588-3173
Fax
(615) 369-8697
NPI assigned
Jan 21, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5961 TN Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955

Mailing address

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

Other practice location 1

222 E Broadway Blvd Ste 205
Jefferson City, TN 37760-2837
Phone (865) 999-0601

Other practice location 2

317 18th Ave N Ste 200
Nashville, TN 37203-2253
Phone (615) 292-3661

Other identifiers 2

IdentifierTypeStateIssuer
100593041OtherTNDRIVERS LICENSE
5961OtherTNLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ClinicSource Direct

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
I20240306000307 TN Practitioner - Mental Health Counselor 4981040599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Behavioral Health Solutions, LLC Mental Health CurrentSince Jan 12, 2025 Accepting new patients
Healthy Mind Counseling Services, Inc CurrentSince Feb 26, 2024 Accepting new patients
Advanced Therapy Solutions Past Accepting new patients

Locations

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

851 Professional Park Dr
Clarksville, TN 37040
Phone (931) 542-2168

3000 Business Park Cir
Ste 900
Goodlettsville, TN 37072
Phone (615) 292-3661

222 E Broadway Blvd
Ste 205
Jefferson City, TN 37760
Phone (865) 991-0601

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

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

317 18th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 292-3661

Organizations & group practices 3

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1184376162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 114",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221955",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Broadway Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602837",
            "country_code": "US",
            "telephone_number": "865-999-0601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 18th Ave N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032253",
            "country_code": "US",
            "telephone_number": "615-292-3661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5961",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "100593041",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5961",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ClinicSource",
            "affiliation": "N",
            "endpointDescription": "Cloud-based EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 E Broadway Blvd Ste 205",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377602837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.