Vanessa Civil-Smith, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7821 Issued in TN

Practice address

217 E Market St Ste 100
Johnson City, TN 37601-4875

Phone

(423) 207-3336

NPI assigned

Feb 7, 2023

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

Other names 1

• Vanessa Civil Former name

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athena Consulting and Psychological Services, PLLCGroup PAC ID 5294719795, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Athena Consulting and Psychological Services, PLLC

  dba Athena Care

  • Clinical Psychologist
  • Nashville, TN
  • NPI 1336292465
  Medicare reassignment Care Compare group NPD
• Clarksville Behavioral Health, LLC

  dba Dr. James M. Dodson

  • Psychologist
  • Clarksville, TN
  • NPI 1174965420
  NPD
• Summit Counseling Services LLC

  • Professional Counselor
  • Johnson City, TN
  • NPI 1003329517
  NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1609572973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MARKET ST STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014875",
            "telephone_number": "423-207-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MARKET ST STE 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014875",
            "telephone_number": "423-207-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Weatherly Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438915",
            "country_code": "US",
            "telephone_number": "615-320-1155",
            "fax_number": "615-320-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIVIL-SMITH",
        "first_name": "VANESSA",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "CIVIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Diane Churchill, FNP
• Zinnia Cielo, PT
• Haley N Cigarroa, LPC/ MHSP
• Justin David Ciralsky, BA
• Circe Medical Services LLC
• Marnichelle Ky Bonocan Clamohoy, RN
• Ashby Paige Clanton, DDS
• Angel Shannon Clark, MA
• Bendik Clark, M.D.
• Hunter Kelsey Clark

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.