Individual provider Active NPI

Katherine Nicole Johnson

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1245858547
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10414 Jackson Oaks Way Ste 103
Knoxville, TN 37922-0704
Phone
(865) 242-0863
NPI assigned
Jul 13, 2020
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10414 Jackson Oaks Way Ste 103
Knoxville, TN 37922-0704

Mailing address

8300 Alexander Cavet Dr
Knoxville, TN 37909-2153
Phone (865) 242-0863

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address katie@knoxvillecounselingservices.com
Direct Messaging Address katie@knoxvillecounselingservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Counseling Services PLLC Mental Health CurrentSince Apr 27, 2025 Accepting new patients

Locations

10414 Jackson Oaks Way
Ste 103
Knoxville, TN 37922
Phone (865) 409-4090

Organizations & group practices 1

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": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1245858547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ALEXANDER CAVET DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092153",
            "telephone_number": "865-242-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 JACKSON OAKS WAY STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220704",
            "telephone_number": "865-242-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@knoxvillecounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "10414 Jackson Oaks Way Ste 103",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379220704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@knoxvillecounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "10414 Jackson Oaks Way Ste 103",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379220704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.