Kelly Anne Gillette, LPC/MHSP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5591 Issued in TN

Practice address

111 Center Park Dr Ste 1300
Knoxville, TN 37922-2124

Phone

(248) 342-3203

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1306515630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 ORCHARD AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172943",
            "telephone_number": "248-342-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTER PARK DR STE 1300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222124",
            "telephone_number": "248-342-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "LPC/MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5591",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jozlynn Rayn Gill
• Laura Gill
• Margaret Sniderman Gill, DNP,FNP,CNM
• Carla L Gillespie, MD
• James T Gillespie Jr., MD, PC
• Pamela J Gillette, CRNA
• Terina Gillette
• James Clifford Gilley, DPM
• Natasha Storm Gilley, APRN-BC
• Amanda Gilliam, LMFT

• Professional Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.