Individual provider Active NPI

Melanie Vance

  • Counselor
  • Knoxville, TN
National Provider Identifier
1255820874
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
408 N Cedar Bluff Rd
Knoxville, TN 37923-3607
Phone
(865) 888-5818
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

408 N Cedar Bluff Rd
Knoxville, TN 37923-3607

Mailing address

408 N Cedar Bluff Rd
Knoxville, TN 37923-3607
Phone (301) 455-9112

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.lifeconnectionsknox.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004714 TN Practitioner - Mental Health Counselor 8729512546 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Connections Counseling Services, PLLC CurrentSince Oct 4, 2024 Accepting new patients
Helen Ross McNabb Center PastSince Jul 30, 2015 Accepting new patients

Locations

408 N Cedar Bluff Rd
Ste 305
Knoxville, TN 37923
Phone (865) 888-5818

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1255820874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233607",
            "telephone_number": "301-455-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N CEDAR BLUFF RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233607",
            "telephone_number": "865-888-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.lifeconnectionsknox.com",
            "affiliation": "N",
            "address_1": "408 N Cedar Bluff Rd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379233607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.