Joanna Peck

Primary specialty

CounselorTaxonomy code 101Y00000X

License

4788 Issued in TN

Practice address

112 S David LN
Knoxville, TN 37922-3203

Phone

(865) 637-9711

NPI assigned

Aug 19, 2015

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Knoxville Mindful Wellness Center LLCGroup PAC ID 6204258106, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knoxville Mindful Wellness Center, LLC

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1902375942
  Medicare reassignment Care Compare group NPD
• Gregory Brewer, M.D.,PLLC

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1619150539
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1578939088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223203",
            "telephone_number": "865-407-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223203",
            "telephone_number": "865-637-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "4788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Gabreil Pearson
• Teri Lee Pearson, DPH
• Megan Lynn Pease, LPTA
• Noelle K. Pease, PMHNP
• Henry E Peck, DPH
• Pectus Services of Tennessee
• Pediatric Analgesia & Sedation Specialists
• Pediatric Consultants at Cedar Bluff
• Pediatric Consultants of East Tennessee
• Pediatric Consultants West

• Counselor in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.