Individual provider Active NPI

Shawn Yantis, LPC-MHSP

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1548588312
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7601 Issued in TN
Practice address
1400 Dowell Springs Blvd Ste 330
Knoxville, TN 37909-2445
Phone
(865) 371-8573
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7601 TN Primary

Addresses

Primary practice location

1400 Dowell Springs Blvd Ste 330
Knoxville, TN 37909-2445

Mailing address

3606 W Andrew Johnson Hwy
Morristown, TN 37814-3603
Phone (865) 378-6929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423002146 TN Practitioner - Mental Health Counselor 9638694508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

1400 Dowell Springs Blvd
Suite 330
Knoxville, TN 37909-2445
Phone (888) 374-5066

400 Balsam Dr
Knoxville, TN 37918-3001
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7601TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Apr 21, 2025 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Oct 1, 2025 Accepting new patients
Family Care Center, LLC Professional CurrentSince Apr 21, 2025 Accepting new patients

Locations

5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176

1400 Dowell Springs Blvd
Ste 330
Knoxville, TN 37909
Phone (608) 225-3958

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1548588312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 W ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143603",
            "telephone_number": "865-378-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 330",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092445",
            "telephone_number": "865-371-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANTIS",
        "first_name": "SHAWN",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.