Prentice Dale Trivette

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1276 Gilbreath Dr
Johnson City, TN 37614-6503

Phone

(423) 439-1000

NPI assigned

Sep 4, 2026

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1255240271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STEEL BRIDGE RD",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376435568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 GILBREATH DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376146503",
            "telephone_number": "423-439-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVETTE",
        "first_name": "PRENTICE",
        "middle_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricities Skin and Cancer
• Trinity Cancer Care, P.C.
• Mara Trinkle, PA
• Tritenn LLC
• Phyllis Jean Trivett, RN
• Rita M Trivette, NP
• Ryan Trojniar, DO
• Talisha Ettina Leeann Troutt, FNP
• Joyce Anne Troxler, MD
• June Gable Troxler, LCSW

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, 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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.