Collaborative Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLABORATIVE COUNSELING

Practice address

1361 Perkins St
Alcoa, TN 37701-2354

Phone

(865) 258-7053

NPI assigned

Jul 29, 2021

Last updated

Jun 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alice Stover, LCSWNPI 1194211706

Title

Member Manager

Phone

(865) 258-7053

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Stover, LCSW

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1194211706
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719100800000",
    "number": "1629741129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 PERKINS ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012354",
            "telephone_number": "865-258-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 PERKINS ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012354",
            "telephone_number": "865-258-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-06-23",
        "certification_date": "2022-10-29",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "865-258-7053",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q068098",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Callie Clement, DPT
• Lauren E. Cline, M.D.
• Diana L Cobb, M.D.
• Ashley Renee Cochran, PTA
• Whitney Elan Colella, PA-C
• Summer Collins
• Tommy Collins, M.D.
• Cara C Connors, M.D.
• Cody Michael Cook
• Greg S Cook, D.D.S.

• Clinical Social Worker in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.