Organization Active NPI

Willowbrook Counseling LLC

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1457022642
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WILLOWBROOK COUNSELING LLC
Practice address
10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701
Phone
(865) 671-1274
Fax
(865) 675-2003
NPI assigned
Sep 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Sarah R Hamblen, LCSWNPI 1598804189
Title
Owner/Authorized Official
Phone
(865) 671-1274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701

Mailing address

10415 Hickory Path Way Ste 101
Knoxville, TN 37922-0701
Phone (865) 671-1274

Other identifiers 1

IdentifierTypeStateIssuer
Q023293MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250618000780 TN Part B Supplier - Clinic/Group Practice 8022529882 Receives reassigned benefits from 3 practitioners
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

10415 Hickory Path Way
Ste 101
Knoxville, TN 37922
Phone (865) 671-1274

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1457022642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-671-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 HICKORY PATH WAY STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220701",
            "telephone_number": "865-671-1274",
            "fax_number": "865-675-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2025-03-12",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "HAMBLEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "865-671-1274",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023293",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.