Active NPI
Life Connections Counseling Services, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1659193092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- LIFE CONNECTIONS COUNSELING SERVICES, PLLC
- Practice address
- 408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648 - Phone
- (865) 888-5818
- Fax
- (865) 888-5819
- NPI assigned
- Oct 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Ann Ruth Defalco-Gibbs
- Title
- Owner
- Phone
- (865) 888-5818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Mailing address
408 N Cedar Bluff Rd Ste 305
Knoxville, TN 37923-3648
Phone (865) 888-5818
National Provider Directory
National Provider DirectoryLocations
408 N Cedar Bluff Rd
Ste 305
Knoxville, TN 37923
Phone (865) 888-5818
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Knoxville, TN
- NPI 1851430318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1659193092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD STE 305",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233648",
"telephone_number": "865-888-5818",
"fax_number": "865-888-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N CEDAR BLUFF RD STE 305",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379233648",
"telephone_number": "865-888-5818",
"fax_number": "865-888-5819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CONNECTIONS COUNSELING SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A",
"authorized_official_last_name": "DEFALCO-GIBBS",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "ANN RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-888-5818"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.