Kevin Patrick Deam

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8107 Issued in TN

Practice address

6373 N Quail Hollow Rd Ste 202
Memphis, TN 38120-1405

Phone

(901) 441-8322

Fax

(901) 347-1385

NPI assigned

Aug 5, 2025

Sex

Male

Sole proprietor

No

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

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

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Randr Mental Health LLCGroup PAC ID 2264803956, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• R&R Mental Health LLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1487372827
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1245114867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 S FLETCHER RUN CIR APT 203",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380162034",
            "telephone_number": "856-912-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 N QUAIL HOLLOW RD STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201405",
            "telephone_number": "901-441-8322",
            "fax_number": "901-347-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAM",
        "first_name": "KEVIN",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "8107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Drew De Jager, DO
• Michael Ryan De la Paz, D.O.
• Christhian Kenethea De Ochoa, RN
• Chasity J. Deal, LCSW, MSW, MPH
• David Adam Deal, PA-C
• Derek Dean, DO
• Elle Milburn Dean
• Margaret Pepper Dean, MD
• Mary R Dean, LPC MHSP
• Michael J Dean, D.M.D.

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, 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 Aug 5, 2025; 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.