Active NPI
Kelsey Rochelle
- Mental Health Counselor
- Knoxville, TN
National Provider Identifier
1255112579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6128
- Practice address
- 9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621 - Phone
- (865) 226-9079
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6128 | TN | Primary |
Addresses
Primary practice location
9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
Mailing address
9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6128 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1255112579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9041 EXECUTIVE PARK DR STE 275B",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234621"
},
{
"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": "865-226-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHELLE",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "6128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.