Individual provider Active NPI

Jo Ann Powell, PH.D.

  • Counseling Psychologist
  • Knoxville, TN
National Provider Identifier
1760506125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
P-1446 Issued in TN
Practice address
9217 Park West Blvd
Suite D-1
Knoxville, TN 37923-4404
Phone
(865) 691-2425
Fax
(865) 531-8440
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X P-1446 TN Primary

Addresses

Primary practice location

9217 Park West Blvd
Suite D-1
Knoxville, TN 37923-4404

Mailing address

9217 Park West Blvd
Suite D-1
Knoxville, TN 37923-4404
Phone (865) 691-2425

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111116000886 TN Practitioner - Clinical Psychologist 0547434151 Practice locations: Knoxville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9217 Park W Blvd
Knoxville, TN 37923-4420
Phone (865) 691-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P-1446TNMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
L. Michael Sherrod, PH.D, , P.C. PastSince Jul 1, 1990 Accepting new patients
Lauren Hamrick PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760506125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE D-1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 PARK WEST BLVD",
            "address_2": "SUITE D-1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234404",
            "telephone_number": "865-691-2425",
            "fax_number": "865-531-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JO ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P-1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.