Active NPI
North Star Counseling and Wellness Center
- Mental Health Counselor
- Maryville, TN
National Provider Identifier
1255753927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3000
- Legal business name
- NORTH STAR COUNSELING AND WELLNESS CENTER
- Practice address
- 811 Micah St
Maryville, TN 37804-3084 - Phone
- (615) 668-8244
- NPI assigned
- Jan 14, 2014
- Last updated
- Jan 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rose M Gamble, LPC-MHSP
- Title
- President/Ceo
- Phone
- (615) 668-8244
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3000 | TN | Primary |
Addresses
Primary practice location
811 Micah St
Maryville, TN 37804-3084
Mailing address
811 Micah St
Maryville, TN 37804-3084
Phone (615) 668-8244
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Knoxville, TN
- NPI 1083805063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1255753927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MICAH ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378043084",
"telephone_number": "615-668-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 MICAH ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378043084",
"telephone_number": "615-668-8244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH STAR COUNSELING AND WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "GAMBLE",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "615-668-8244",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC-MHSP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "3000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.