Individual provider Active NPI

Connie Ward, LPC-MHSP

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1417265398
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2611 Issued in TN
Practice address
10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone
(865) 588-3173
Fax
(865) 312-6442
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 2611 TN Primary

Addresses

Primary practice location

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665

Mailing address

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone (865) 588-3173

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
I20240102001990 TN Practitioner - Mental Health Counselor 4587014634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

10434 Jackson Oaks Way
Knoxville, TN 37922-3293
Phone (865) 588-3173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2611TNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Clinical & Forensic Consultation, LLC Professional PastSince Feb 24, 2018 Accepting new patients

Locations

100 5th St
Ste 310
Bristol, TN 37620
Phone (423) 822-5099

1415 Old Weisgarber Rd
Ste 360
Knoxville, TN 37909
Phone (865) 345-4557

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

11840 Kingston Pike
Ste B
Knoxville, TN 37934

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (865) 606-6110

10434 Jackson Oaks Way
Knoxville, TN 37922
Phone (865) 281-1408

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.connieward@148560.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1417265398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-588-3173",
            "fax_number": "865-312-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-588-3173",
            "fax_number": "865-312-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CONNIE",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.