Individual provider Active NPI

Deborah Ann Johnson, EDS LPC MHSP

  • Professional Counselor
  • Crossville, TN
National Provider Identifier
1366431876
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC1041 Issued in TN
Practice address
569 Peavine Firetower Rd
Crossville, TN 38571-0997
Phone
(931) 456-2732
Fax
(931) 456-6550
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC1041 TN Primary

Addresses

Primary practice location

569 Peavine Firetower Rd
Crossville, TN 38571-0997

Mailing address

569 Peavine Firetower Rd
Crossville, TN 38571-0997
Phone (931) 456-2732

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
I20240124002632 TN Practitioner - Mental Health Counselor 9234582479

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1504 Williams Dr
Murfreesboro, TN 37129-3274

569 Peavine Firetower Rd
Crossville, TN 38571-0997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC1041TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Jan 1, 2024 Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

4325 Highway 127 N
Crossville, TN 38571
Phone (931) 484-8020

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 1

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366431876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 PEAVINE FIRETOWER RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385710997",
            "telephone_number": "931-456-2732",
            "fax_number": "931-456-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 PEAVINE FIRETOWER RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385710997",
            "telephone_number": "931-456-2732",
            "fax_number": "931-456-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "EDS LPC MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.