Individual provider Active NPI

Lainy Mistich, LPC-MHSP

  • Professional Counselor
  • Maryville, TN
National Provider Identifier
1609410422
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7714 Issued in TN
Practice address
206 Barberry CT
Maryville, TN 37804-4706
Phone
(504) 912-0197
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7714 TN
Professional Counselor 101YP2500X 7714 TN Primary

Addresses

Primary practice location

206 Barberry CT
Maryville, TN 37804-4706

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (865) 588-3173

Other practice location 1

10142 Parkside Dr Ste 114
Knoxville, TN 37922-1955
Phone (865) 588-3173

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
I20260123000005 TN Practitioner - Mental Health Counselor 5799262507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2911 Essary Dr
Suite 200
Knoxville, TN 37918-2469

3114 Browns Mill Rd
Johnson City, TN 37604-1417

3322 W End Ave
Suite 350
Nashville, TN 37203-6911

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7714TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Centers of Tennessee, PC CurrentSince Mar 1, 2026 Accepting new patients
Crossroads Treatment Centers of Tennessee, P.C. CurrentSince Mar 1, 2026 Accepting new patients
Revida Recovery Centers, PC CurrentSince Jan 1, 2026 Accepting new patients
Healthy Mind Counseling Services, Inc PastSince Aug 22, 2022 Accepting new patients

Locations

4140 Thornton Taylor Pkwy
Ste D
Fayetteville, TN 37334
Phone (931) 434-8109

712 Professional Plaza Dr
Greeneville, TN 37745
Phone (423) 820-0432

5864 Highway 153
Ste 112
Hixson, TN 37343
Phone (423) 243-3342

114 Perkins Ln
Jacksboro, TN 37757
Phone (864) 436-7266

3114 Browns Mill Rd
Johnson City, TN 37604
Phone (423) 282-5611

2001 Highland Ave
Knoxville, TN 37916
Phone (865) 633-0353

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

230 Bowman St
Morristown, TN 37813
Phone (423) 586-1356

3322 West End Ave
Ste 350
Nashville, TN 37203

330 Heritage Blvd
Newport, TN 37821
Phone (423) 623-7043

106 Administration Rd
Ste 3
Oak Ridge, TN 37830
Phone (865) 276-6212

161 Mose Dr
Sparta, TN 38583
Phone (931) 222-0139

127 Ledford Mill Rd
Tullahoma, TN 37388
Phone (931) 841-3311

Organizations & group practices 4

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": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1609410422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "865-588-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BARBERRY CT",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378044706",
            "telephone_number": "504-912-0197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10142 Parkside Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379221955",
            "country_code": "US",
            "telephone_number": "865-588-3173",
            "fax_number": "615-369-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISTICH",
        "first_name": "LAINY",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TN",
            "license": "7714",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.