NPIMap

Organization Active NPI

Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
National Provider Identifier
1457409898
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000004260 Issued in TN
Legal business name
HEALTHY MIND COUNSELING SERVICES, INC
Practice address
6305 Lonas Dr Ste 101
Knoxville, TN 37909-3203
Phone
(865) 588-3173
Fax
(865) 588-3174
NPI assigned
Jan 8, 2007
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Ryan Pardo
Title
Chief Legal Officer
Phone
(206) 399-1493

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSW0000004434 TN
Clinical Social Worker 1041C0700X LSW0000004207 TN
Clinical Social Worker 1041C0700X LSW0000004393 TN
Clinical Social Worker 1041C0700X LSW0000004442 TN
Clinical Social Worker 1041C0700X LSW0000000935 TN
Clinical Social Worker 1041C0700X LSW0000004260 TN Primary

Addresses

Primary practice location

6305 Lonas Dr Ste 101
Knoxville, TN 37909-3203

Mailing address

6305 Lonas Dr Ste 101
Knoxville, TN 37909-3203
Phone (865) 588-3173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070827000096 TN Part B Supplier - Clinic/Group Practice 8325093081 Receives reassigned benefits from 147 practitioners
Practice locations: Knoxville, TN; Mt Juliet, TN; Johnson City, TN; Hendersonville, TN; Bristol, TN; Brentwood, TN

National Provider Directory

National Provider Directory

Locations

9020 Overlook Blvd
Ste 130
Brentwood, TN 37027
Phone (865) 219-3026

2112 N Roan St
Ste 300
Johnson City, TN 37601

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

10142 Parkside Dr
Ste 114
Knoxville, TN 37922

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

11840 Kingston Pike
Ste B
Knoxville, TN 37934

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

5410 Homberg Dr
Ste 14
Knoxville, TN 37919
Phone (865) 216-2043

660 S Mount Juliet Rd
Ste 130
Mt Juliet, TN 37122
Phone (615) 880-8427

Practitioners & affiliated clinicians

Practitioners 231

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 231

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1457409898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 LONAS DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093203",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 LONAS DR STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093203",
            "telephone_number": "865-588-3173",
            "fax_number": "865-588-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MIND COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "206-399-1493"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004434",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004393",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004442",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000000935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000004260",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 12, 2023; 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.