Active NPI
Katrise Thompson, M.ED.
- Mental Health Counselor
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5436
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5436 | TN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Maryville, TN
- NPI 1073223095
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.