Organization Active NPI

Covenant Counseling & Consultation Services

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1548670359
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0000001551 Issued in TN
Legal business name
COVENANT COUNSELING & CONSULTATION SERVICES
Practice address
3214 Tazewell Pike Ste 203
Knoxville, TN 37918-2578
Phone
(865) 254-6045
Fax
(865) 337-7382
NPI assigned
May 1, 2014
Last updated
Nov 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Ms. Donna Juanita Mitchell, LMSWNPI 1841618022
Title
President/Ceo
Phone
(865) 254-6045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC0000001551 TN Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X LSW0000007798 TN

Addresses

Primary practice location

3214 Tazewell Pike Ste 203
Knoxville, TN 37918-2578

Mailing address

3214 Tazewell Pike Ste 203
Knoxville, TN 37918-2578
Phone (865) 254-6045

Other identifiers 1

IdentifierTypeStateIssuer
6047941MedicaidTN

National Provider Directory

National Provider Directory

Locations

3214 Tazewell Pike
Ste 203
Knoxville, TN 37918
Phone (865) 254-6045

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1548670359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 TAZEWELL PIKE STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182578",
            "telephone_number": "865-254-6045",
            "fax_number": "865-337-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 TAZEWELL PIKE STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182578",
            "telephone_number": "865-254-6045",
            "fax_number": "865-337-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT COUNSELING & CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "865-254-6045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000001551",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000007798",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6047941",
            "state": "TN"
        }
    ],
    "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 Nov 3, 2016; 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.