Organization Active NPI

Life Connections Counseling Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1659193092
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Sarah Ann Ruth Defalco-GibbsNPI 1851430318
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.