Individual provider Active NPI

Katrise Thompson, M.ED.

  • Mental Health Counselor
  • Maryville, TN
National Provider Identifier
1477964898
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5436 Issued in TN
Practice address
211 Foothills Mall Drive
Maryville, TN 37801-3770
Phone
(865) 263-6471
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5436 TN Primary

Addresses

Primary practice location

211 Foothills Mall Drive
Maryville, TN 37801-3770

Mailing address

257 N Calderwood St # 239
Alcoa, TN 37701-2111
Phone (865) 405-3564

Other practice location 1

40 Burton Hills Blvd Ste 200
Nashville, TN 37215-5902
Phone (724) 250-8855

Other practice location 2

162D Market Place Blvd
Knoxville, TN 37922-2337
Phone (865) 405-3564

Other names 1

  • Kartrise Nichelle Thompson Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katrise@beautyfromashestn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
5436TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty From Ashes Coaching, Counseling, and Consultation, LLC Current Accepting new patients

Locations

257 N Calderwood St
Alcoa, TN 37701

211 Foothills Mall Dr
Maryville, TN 37801
Phone (865) 228-2059

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": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1477964898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N CALDERWOOD ST # 239",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012111",
            "telephone_number": "865-405-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FOOTHILLS MALL DRIVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013770",
            "telephone_number": "865-263-6471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Burton Hills Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372155902",
            "country_code": "US",
            "telephone_number": "724-250-8855",
            "fax_number": "724-788-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "162D Market Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379222337",
            "country_code": "US",
            "telephone_number": "865-405-3564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATRISE",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katrise@beautyfromashestn.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "211 Foothills Mall Drive",
            "city": "Maryville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378013770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARTRISE",
            "last_name": "THOMPSON",
            "middle_name": "NICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.