Active NPI
Lainy Mistich, LPC-MHSP
- Professional Counselor
- Maryville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7714
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7714 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Treatment Centers of Tennessee, PC | Current | Accepting new patients | |
| Crossroads Treatment Centers of Tennessee, P.C. | Current | Accepting new patients | |
| Revida Recovery Centers, PC | Current | Accepting new patients | |
| Healthy Mind Counseling Services, Inc | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Harriman, TN
- NPI 1316403405
-
- Addiction Medicine (Family Medicine) Physician
- Abingdon, VA
- NPI 1013483486
TN
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fayetteville, TN
- NPI 1780541607
-
- Clinical Social Worker
- Knoxville, TN
- NPI 1457409898
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.