Individual provider Active NPI

Dorothy J Crist, LPC LEAP

  • Mental Health Counselor
  • Knoxville, TN
National Provider Identifier
1497737423
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC574 Issued in TN
Practice address
6923 Maynardville Pike
PMB #108
Knoxville, TN 37918-5324
Phone
(865) 382-6049
Fax
(888) 844-0300
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC574 TN
Mental Health Counselor 101YM0800X LPC574 TN Primary

Addresses

Primary practice location

6923 Maynardville Pike
PMB #108
Knoxville, TN 37918-5324

Mailing address

6923 Maynardville Pike
PMB #108
Knoxville, TN 37918-5324
Phone (865) 382-6049

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

State licenses

LicenseStateTypeSpecialty
LPC574TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1497737423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 MAYNARDVILLE PIKE",
            "address_2": "PMB #108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185324",
            "telephone_number": "865-382-6049",
            "fax_number": "888-844-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 MAYNARDVILLE PIKE",
            "address_2": "PMB #108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379185324",
            "telephone_number": "865-382-6049",
            "fax_number": "888-844-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "credential": "LPC LEAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC574",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC574",
            "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 Sep 9, 2020; 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.