Individual provider Active NPI

Todd W Hollibush, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1780184168
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24053 Issued in TN
Practice address
10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone
(865) 588-3173
Fax
(865) 312-6442
NPI assigned
Feb 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000091278 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24053 TN Primary

Addresses

Primary practice location

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665

Mailing address

10025 Investment Dr Ste 100
Knoxville, TN 37932-2665
Phone (865) 588-3173

Other practice location 1

73 White Bridge Rd Ste 103-243
Nashville, TN 37205-1444
Phone (615) 673-6737

Other practice location 2

3703 Sisk Rd
Knoxville, TN 37921-1454
Phone (865) 228-1753

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180728000128 TN Practitioner - Nurse Practitioner 3173870755 Reassigns benefits to 2 organizations
I20200422000591 FL Practitioner - Certified Clinical Nurse Specialist (CNS) 3173870755

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mind Counseling Services, IncGroup PAC ID 8325093081, 120 clinicians

Practice addresses (Care Compare)

10025 Investment Dr
Suite 100
Knoxville, TN 37932-2665
Phone (865) 606-6110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000091278TNMDRegistered Nurse
24053TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Mar 3, 2025 Accepting new patients
Christopher Dennis MD PLLC Psychiatric/Mental Health CurrentSince Feb 4, 2019 Accepting new patients

Locations

900 Heritage Way
Brentwood, TN 37027
Phone (615) 507-2686

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

10025 Investment Dr
Ste 100
Knoxville, TN 37932
Phone (833) 547-2113

2084 W Main St
Milan, TN 38358
Phone (731) 686-8321

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.toddhollibush@148560.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1780184168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-588-3173",
            "fax_number": "865-312-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322665",
            "telephone_number": "865-588-3173",
            "fax_number": "865-312-6442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 White Bridge Rd Ste 103-243",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372051444",
            "country_code": "US",
            "telephone_number": "615-673-6737",
            "fax_number": "800-474-4039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3703 Sisk Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379211454",
            "country_code": "US",
            "telephone_number": "865-228-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIBUSH",
        "first_name": "TODD",
        "middle_name": "W",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000091278",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.