Individual provider Active NPI

Nina K Hancock, LMFT

  • Marriage & Family Therapist
  • Johnson City, TN
National Provider Identifier
1487747465
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMT0000000212 Issued in TN
Practice address
208 E Unaka Ave
Johnson City, TN 37601-4626
Phone
(423) 926-0940
Fax
(423) 926-4202
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMT0000000212 TN Primary

Addresses

Primary practice location

208 E Unaka Ave
Johnson City, TN 37601-4626

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (425) 467-3600

Other names 1

  • Ms. Nina Katherine Kibler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMT0000000212TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Jan 1, 2024 Accepting new patients
Frontier Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

26 Midway St
Bristol, TN 37620
Phone (423) 989-4500

426 E G St
Elizabethton, TN 37643
Phone (423) 547-5950

1003 N Broadway St
Johnson City, TN 37601
Phone (423) 232-4326

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1487747465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376159054",
            "telephone_number": "425-467-3600",
            "fax_number": "423-467-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014626",
            "telephone_number": "423-926-0940",
            "fax_number": "423-926-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "NINA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "LMT0000000212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "KIBLER",
            "middle_name": "KATHERINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.