Active NPI
Carl Allen Counts, MED LPC
- Professional Counselor
- Johnson City, TN
National Provider Identifier
1598858474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1452
- Practice address
- 600 E Unaka Ave
Johnson City, TN 37601-4035 - Phone
- (423) 212-1236
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC0000001452 | TN | |
| Professional Counselor | 101YP2500X | 1452 | TN | Primary |
Addresses
Primary practice location
600 E Unaka Ave
Johnson City, TN 37601-4035
Mailing address
153 Marion Branch Rd
Elizabethton, TN 37643-5804
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000001452 | TN | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current | Accepting new patients | |
| Aaron Free LPC LLC | Professional | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
8913 Town and Country Cir
Knoxville, TN 37923
Phone (253) 861-0739
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.
-
- Professional Counselor
- Johnson City, TN
- NPI 1356947907
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": "1684281600000",
"number": "1598858474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 MARION BRANCH RD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376435804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E UNAKA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014035",
"telephone_number": "423-212-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "CARL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "MED LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC0000001452",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "1452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.