Organization Active NPI

Whole Soul Counseling, LLC

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1255155354
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WHOLE SOUL COUNSELING, LLC
Doing business as
Whole Soul Counseling, LLC
Practice address
200 Prosperity Drive
Suite 229
Knoxville, TN 37923
Phone
(865) 824-1256
NPI assigned
Nov 14, 2024
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Amber Christine Bird, LPC/MHSP
Title
Owner
Phone
(865) 824-1256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

200 Prosperity Drive
Suite 229
Knoxville, TN 37923

Mailing address

200 Prosperity Drive
Suite 229
Knoxville, TN 37923
Phone (865) 824-1256

Other identifiers 1

IdentifierTypeStateIssuer
Q081967MedicaidTN

Other names 3

  • Whole Soul Counseling, LLC Doing business as
  • Whole Soul Counseling Former legal business name
  • Amber Bird Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1255155354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DRIVE",
            "address_2": "SUITE 229",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-824-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PROSPERITY DRIVE",
            "address_2": "SUITE 229",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "telephone_number": "865-824-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SOUL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-824-1256",
        "authorized_official_credential": "LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q081967",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Soul Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whole Soul Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Amber Bird",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 17, 2025; 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.