Active NPI
Nicholas Salsbury
- Professional Counselor
- Knoxville, TN
National Provider Identifier
1669986675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4590
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 305-9000
- NPI assigned
- Nov 29, 2017
- Sex
- Male
- 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 | |||
| Professional Counselor | 101YP2500X | 4590 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
201 W Springdale Ave
Knoxville, TN 37917-5158
Other practice location 1
2018 Clinch Ave
Knoxville, TN 37916-2301
Phone (865) 541-8000
Other practice location 2
3712 Middlebrook Pike
Knoxville, TN 37921-6503
Phone (865) 444-2333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q048553 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1659330686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1669986675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W SPRINGDALE AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379175158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9000"
}
],
"practiceLocations": [
{
"address_1": "2018 Clinch Ave",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162301",
"country_code": "US",
"telephone_number": "865-541-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3712 Middlebrook Pike",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379216503",
"country_code": "US",
"telephone_number": "865-444-2333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALSBURY",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "4590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q048553",
"state": "TN"
}
],
"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 Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.